Drug Coverage

Navigating Drug Formularies

Schaeffer experts evaluate trends in drug formularies and utilization restrictions to determine whether patients are getting access to high-value medicines.

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Journal Article

Cost Sharing for Preferred Branded Drugs in Medicare Part D

Stand-alone Part D plans increasingly use coinsurance rather than copayments for preferred brand drugs. This shift exposes beneficiaries to rising list prices, while rebates accrue to their plans.

Featured Experts: Erin Trish

News

Medicare Beneficiaries Face Much Higher Drug Costs as Plans Quickly Shift to Coinsurance

Perspective

Medicare Should Cover Wegovy — But Not Negotiate Its Price

Comment Letter

Comments to CMS on Proposed $2 Drug List Model

In The News View All

Medscape

Medicare coverage of obesity drugs could presure other insurers to follow suit, Ward says

Featured Experts: Alison Sexton Ward

Oprah Daily

Qato discusses disparities in GLP-1 coverage

Featured Experts: Dima M. Qato

Bloomberg Law

The first round of Medicare drug negotiations lacked true transparency, Lakdawalla explains

Featured Experts: Darius Lakdawalla

Yahoo Finance

Medicare coverage of GLP-1s could make doctors more accepting of the drugs, Goldman says

Featured Experts: Dana Goldman

Healthcare Brew

Chen discusses impacts of GLP-1s and IRA

Featured Experts: Alice Chen

Featured Perspective

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Drug Coverage

Experts

Erin Trish, PhD

Drug Pricing, Healthcare Markets, Medicare

Neeraj Sood, PhD

Healthcare Decision-Making, Healthcare Markets, Prevention, Public Health

Alice Chen, PhD

Healthcare Markets, Innovation, Public Health

Dana Goldman, PhD

Aging, Drug Pricing, Innovation

Geoffrey Joyce, PhD

Drug Pricing, Healthcare Markets, Innovation, Medicare

Featured Research

Medicare Part D Plans Increased Restrictions on Drug Coverage

Medicare Part D plans excluded more compounds from coverage or subjected more of them to review before patients can access treatments, USC researchers found.

Experts: Geoffrey Joyce, Karen Van Nuys

Read: Medicare Part D Plans Increased Restrictions on Drug Coverage

Drug Coverage

Drug Coverage

Navigating Drug Formularies

Related Topics

Top Drug Coverage Stories View All

Medicare Beneficiaries Face Much Higher Drug Costs as Plans Quickly Shift to Coinsurance

Medicare Should Cover Wegovy — But Not Negotiate Its Price

Comments to CMS on Proposed $2 Drug List Model

In The News View All

Featured Perspective

Experts

Erin Trish, PhD

Neeraj Sood, PhD

Alice Chen, PhD

Dana Goldman, PhD

Geoffrey Joyce, PhD

Featured Research