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Medicare Part D plans rarely cover brand-name drugs when generics are available

from Health Affairs

Medicare Part D plans rarely cover brand-name drugs when generics are available Health Affairs Recent press reports and other evidence suggest that Medicare Part D plans may be encouraging the use of brand-name drugs instead of generics. However, the scope of such practices is unclear. We examined Medicare Part D formulary coverage and tier placement of matched pairs of brand-name drugs and generics to quantify how often preferred formulary placement of brand-name drugs is occurring within and across Part D plans and to assess the cost implications for Medicare and its beneficiaries. READ MORE

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