The New Medicare Drug Benefit: Potential Effects of Pharmacy Management Tools on Access to Medications
Publication Date: July 2004
Publisher: Henry J. Kaiser Family Foundation
Author(s):
Research Area: Health
Keywords: Health Plans; Prescription Drugs
Type: Report
Coverage: United States
Abstract:
This report describes the pharmacy benefit management tools that will be available to private plans administering the new Medicare drug benefit, including formularies, the definition of categories and classes, and cost sharing requirements. The authors conclude that substantial flexibility given to plans to design management tools could have significant implications for beneficiaries’ access to needed medications and out-of-pocket spending.
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