Medicare Drug Plans: Restrictions on Access to Formulary Drugs
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Serial Number
Levin Center Identifier
Document Date
2006-03-23
Report Length
12 pages
Policy Agendas Project Major Code
Policy Agendas Project Minor Code
Additional, Minority, Dissenting Views
Report Type
Found Using Methodology
Yes
Committee(s)
Subcommittee(s)
Commission(s)
Idependent Author(s)
Brief Executive Summary
The Special Investigations Division of the House Committee on Government Reform examined tactics used by Medicare drug plans that limit access to prescription drugs on plan formularies. The analysis is based on a Medicare database, a phone survey of Medicare drug plans, and information available online. The findings reveal widespread use of restrictive tactics by Medicare drug plans, such as prior authorization, step therapy, and volume limits.