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- W2103976181 abstract "The earliest forms of prescription drug benefit management generally entailed only processing claims between plan sponsors and network pharmacies. Not much emphasis was put on creating coverage policies, and little effort was put toward lowering costs. Basically, most prescriptions filled in outpatient pharmacies were covered, with the exception of a few common exclusions, such as oral contraceptives and drugs used to enhance normal health, function, or physical appearance. But this approach to prescription drug benefits began to change rapidly in the early to mid-1990s. Since that time, the number of people covered by prescription drug benefits has increased dramatically through employee-sponsored programs and the recently implemented Medicare prescription drug programs. The number of people using prescription drugs has also increased significantly. In addition, the introduction of expensive new drugs has shifted use away from less-expensive products (e.g., generic drugs). These trends produced year-to-year increases of approximately 10–17% in the costs of prescription drug benefits between 1993 and 2003.1 Although prescription drug costs represented a small percentage of overall health care costs, sponsors of prescription drug plans became interested in addressing these rising costs, fearing that they were unsustainable and would interfere with meeting other organizational objectives." @default.
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- W2103976181 date "2006-09-15" @default.
- W2103976181 modified "2023-09-28" @default.
- W2103976181 title "Ensuring fairness in coverage decisions: Applying the American Medical Association Ethical Force Program’s consensus report to managed care pharmacy" @default.
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- W2103976181 doi "https://doi.org/10.2146/ajhp050546" @default.
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