As they struggle to contain skyrocketing medication costs, health plans across the US have responded by implementing multi-tiered formularies requiring higher copayments for "nonpreferred" medications ...

Objectives: To examine the relative preferred placement of commonly dispensed prescription drugs and to assess variations in drug coverage across a convenience sample of 12 health insurance plans.

Rather than pay higher out-of-pocket costs for a brand-name medication or choose a less expensive alternative, many persons covered under 3-tier managed care plans opt to discontinue the medication ...

Objective: To investigate the extent to which preferred drug lists and tiered formularies reflect evidence of value, as measured in published cost-utility analyses (CUAs). Methods: Using 1998-2001 ...

BOSTON, MA - Large increases in co-payments in tiered prescription drug plans increase the likelihood that patients will choose not to pay them and to stop taking prescribed drugs, including needed ...

As PBMs have endeavored to tame pharma companies that play fast and loose with pricing, the co-pay card has been a rare mechanism that allows manufacturers to retain some semblance of control at the ...

A Medicare Part D formulary is a list of the drugs the plan covers, organized into tiers with different out-of-pocket costs. Many, or all, of the products featured on this page are from our ...

Successful formulary system management can help ACOs achieve high quality, low cost objectives across the care continuum. This article targets healthcare leaders choosing to participate in the ...

ORLANDO, Fla.--(BUSINESS WIRE)--May 15, 2007--Employers attending the 2007 Rx Collaborative Annual Meeting today were among the first to view and evaluate the Towers Perrin Reference Formulary System, ...

We examined coverage, cost-sharing and utilization management for the top-selling biologics in 2006 and 2009 using nationally representative data from the US Medicare prescription drug plan formulary ...

Waltham, MA—As they struggle to contain skyrocketing medication costs, health plans across the U.S. have responded by implementing multi-tiered formularies requiring higher copayments for ...