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| Status
of 104 Drugs on 30 HMO Formularies |
Formularies
are the basis of many key strategies for controlling the cost and
utilization of drugs, both in the private sector and under the new
Medicare Part D drug benefit. Status of 104 Drugs on 30 HMO
Formularies provides information on some of the most popular
pharmaceutical products on 30 different HMO formularies as of February/March
2005, giving you valuable insights you can put to use in establishing
or modifying your own formulary.
A
convenient, easy-to-read format makes this an essential reference
for P&T committees and others involved in designing formularies,
negotiating pricing and rebates, and design benefits. It includes
some of the most popular injectable drugs that are beginning to be
covered under the pharmacy benefit and managed via formulary restrictions.
Use
this report to:
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See
real-life examples of how drug products are presented on formularies
at 30 large HMOs.
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Get
examples that illustrate a variety of options for managing drug
costs via formulary restrictions.
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Identify
formulary restrictions that you may be underutilizing in your own
pharmacy benefit plan.
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Compare
HMO formularies to help determine if your own formulary is too strict,
too liberal, or just right for your membership.
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Identify
untapped opportunities for real savings for your prescription drug
plan, and enhanced safety and well-being for your members.
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Spot
techniques for promoting the goals of your health plan via formulary
policies.
The
drugs covered in Status of 104 Drugs on 30 HMO Formularies
were selected
based on their potential for demand, direct-to-consumer advertising,
high cost, or controversial coverage issues. The report compares 30
different on-line HMO formularies, predominantly three-tiered structure,
and their treatment of these drugs on the formulary. It includes tier
placement, preferred alternatives, quantity limits or other coverage
restrictions, or prior authorization criteria. Products are listed
by diagnostic category to easily compare how an entire class of drugs
is managed by the 30 different formularies.
Drugs
include popular oral and injectable brand-name products and generic
alternatives in the following categories:
Table
of Contents
Introduction
Methodology
Disclaimer
Featured HMO
Formularies
Featured Medications
Medication Formulary
Comparisons
Allergy/Respiratory
Alzheimer's Disease
Anemia
Antibiotics
Anticonvulsants
Antidepressants
Antifungals
Antipsychotics
Antivirals-HIV/AIDS
Antivirals-Miscellaneous
Benign Prostatic Hyperplasia
Cardiovascular Products
Cholesterol-Lowering Drugs
Diabetes
Erectile Dysfunction
Gastrointestinal
Migraine
Osteoporosis
Pain
Pulmonary
Rheumatoid Arthritis
Urinary Incontinence
Written
By
This
book was written by the editorial staff of AIS.
Written
For
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Health
Plans
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Medical
Groups
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Employers
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Related
Publications
Drug
Benefit News
Pharmacy Benefit Trends & Data
Specialty Pharmacy: Stakeholders, Strategies
and Markets
PBM
Formulary Strategies and Their Impact on Payers
Specialty Pharmacy News
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