Managed Care
Disease
Management

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