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Considerations in Creating a Medicare Part D Formulary

Considerations in Creating a Medicare Part D Formulary

Access to medications is the key concern of every stakeholder in the Medicare Part D outpatient drug benefit. Beneficiaries want increased access that will reduce out-of-pocket expenses. Prescription drug plans want to control access so as to assure the financial viability of their programs. Medicare Advantage plans want to promote access as a means to reduce hospitalizations and other expenditures. This supplement examines the variables to consider when constructing a Part D formulary.

Highlights:


  • Strategies for Developing a Successful Medicare Part D Formulary

  • Case study: Antidementia agents

  • Case study: TNF inhibitors

  • Case study: Bisphosphonates