Vir­ginia has become the first state to require that health insur­ers count coupons for pre­scrip­tion drugs and copay­ments as apply­ing to health plan deductibles.  Fair Health Care VA, an advo­ca­cy group, said “patients should not be denied one of the key ben­e­fits of copay assis­tance pro­grams, par­tic­u­lar­ly since insur­ers are already get­ting the val­ue of nego­ti­at­ed drug price dis­counts while with­hold­ing these ben­e­fits from patients.”