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Publication

Medicare Drug Plans: Restrictions on Access to Formulary Drugs

House Committee on Government Reform
Special Investigations Division
Abstract
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.
Date
2006-03-23
Document Type
House Minority Staff Report
Serial Number
Document Length
12 pages
Congress
109
Relation
DOI
Keywords
Staff Reports
PAP Major Code
3: Health
PAP Minor Code
335: Prescription Drug Coverage and Costs
Related Hearings
Press Releases and Contextual Information
https://web.archive.org/web/20061130023743/http://www.democrats.reform.house.gov/story.asp?ID=1028