Pharmacy benefit caps and the chronically ill

Geoffrey F. Joyce, Dana P. Goldman, Pinar Karaca-Mandic, Yuhui Zheng

    Research output: Contribution to journalArticle

    29 Citations (Scopus)

    Abstract

    In this paper we examine medication use among retirees with employer-sponsored drug coverage both with and without annual benefit limits. We find that pharmacy benefit caps are associated with higher rates of medication discontinuation across the most common therapeutic classes and that only a minority of those who discontinue use reinitiate therapy once coverage resumes. Plan members who reach their cap are more likely than others to switch plans and increase their rate of generic use; however, in most cases, the shift is temporary. Given the similarities between these plans and Part D, we make some inferences about reforms for Medicare.

    Original languageEnglish (US)
    Pages (from-to)1333-1344
    Number of pages12
    JournalHealth Affairs
    Volume26
    Issue number5
    DOIs
    StatePublished - Sep 1 2007

    Fingerprint

    chronically ill
    Chronic Disease
    medication
    Medicare
    coverage
    retiree
    employer
    Therapeutics
    minority
    Pharmaceutical Preparations
    drug
    reform

    Cite this

    Pharmacy benefit caps and the chronically ill. / Joyce, Geoffrey F.; Goldman, Dana P.; Karaca-Mandic, Pinar; Zheng, Yuhui.

    In: Health Affairs, Vol. 26, No. 5, 01.09.2007, p. 1333-1344.

    Research output: Contribution to journalArticle

    Joyce, Geoffrey F. ; Goldman, Dana P. ; Karaca-Mandic, Pinar ; Zheng, Yuhui. / Pharmacy benefit caps and the chronically ill. In: Health Affairs. 2007 ; Vol. 26, No. 5. pp. 1333-1344.
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