Pharmacy Benefit Management Institute Prescription Drug Benefit Cost and Plan Design Online Report 2008-09 Edition Search
Executive Summary Methodology Profile of Respondents Plan Design Features Cost Sharing Highlights Pharmacy Reimbursement Highlights Drug Cost Highlights Utilization Management Highlights
Prescription Drug Benefit Cost and Plan Design Report
The Pharmacy Benefit Management Institute provides research, education, and publication services to help health care benefit executives work with pharmacy benefit managers (PBMs) and managed care organizations to design prescription drug benefit programs.

PBMI provides a forum for health care purchasers to exchange ideas, advance best practices, and drive marketplace changes that improve pharmacy benefits and control costs.
Sponsored by Takeda

Welcome to the online reporting of PBMI’s annual Prescription Drug Benefit Cost and Plan Design Survey.

The purpose of this report is to give you an overview of U.S. trends in prescription drug coverage, plan design, utilization, and drug costs. Since its creation in 1995, this report has become an invaluable tool for employers, managed care organizations, trade associations, benefits consultants, pharmaceutical manufacturers, and legislators.

PBMI gratefully acknowledges the support of Takeda Pharmaceuticals North America (TPNA), Inc. for providing a grant covering the costs of producing this report.

We hope you find this online report to be a valuable tool as you design your benefit plans.

Download an Adobe PDF version of our report
Sidebar Articles
Quality Wave Engulfs Pharmacy
Physician Incentives Necessary to Boost E-Prescribing
Value-based Benefit Design Focuses on Big Picture

1 Summary of Cost Sharing for Common Plan Configurations
22 Average Retail Copayment Amounts by Drug Category
25 Average Retail Coinsurance Amounts by Drug Category

3 Type of Formulary Used by Employers
4 Current Protected Drug Classes in Part D
6 Utilization Management Tools in Plan Design