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Formulary
A formulary is a list of the drugs covered by a prescription drug plan.

This year, we revised the survey question about formulary structure to reflect the range of formulary options prevalent in the marketplace.

In prior years, respondents could specify one of just three choices: open, closed or incented. This year, the 273 employers using a formulary — 89% of respondents — have it structured with multiple tiers (see Figure 3).

Closed formularies have almost disappeared, replaced by formularies with multiple tiers that require members to pay more for more expensive drugs instead of limiting access to therapies. Closed formularies do not cover those drugs not included on the drug list.


Figure 3: Type of Formulary Used by Employers



Proactive Management for Specialty Pharmacy

Medicare Part D Strategies to Change Over Time

 

 

 

 

 

 

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