Effective strategies for managing pharmacy benefits.
Prescription drug costs are among the fastest-growing healthcare costs. Effective plan design and benefit management strategies can help pharmacy benefit plans manage costs while maintaining quality and customer satisfaction. These strategies include using formulary management, intervention techniques, and cost sharing to encourage the use of generic drugs; employing a mail-service pharmacy benefit for maintenance medications; and implementing concurrent and retrospective review programs to ensure eligibility and plan compliance, identify practice patterns, and encourage appropriate drug selection.
Jacobson
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Merck-Medco Managed Care LLC, Franklin Lakes, New Jersey, USA. david_jacobson@merck.com
D017047:Cost Sharing; D017723:Drug Utilization Review; D016568:Drugs, Generic / Q000191:economics; D005569:Formularies as Topic; D006801:Humans; D019458:Insurance Coverage; D007356:Insurance, Pharmaceutical Services / Q000191:economics*; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D010594:Pharmacies / Q000191:economics / Q000458:organization & administration; D014481:United States
D016568:Drugs, Generic