Pharmacy Benefit Management Institute Prescription Drug Benefit Cost and Plan Design Online Report 2008-09 Edition Search
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Executive Summary Methodology Profile of Respondents Plan Design Features Cost Sharing Highlights Pharmacy Reimbursement Highlights Drug Cost Highlights Utilization Management Highlights Home
Prescription Drug Benefit Cost and Plan Design Report
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Tables, by Topic

 Summary
1
Summary of Cost Sharing for Common Plan Configurations
2
Percentage Change in Average Cost Sharing Amounts from 2007 to 2008
 Profile of Respondents
3
Reported Plan Types
4
Actual Count of Number of Members
5
Average Size Group by Number of Members
6
Employers Grouped by Number of Members
7
Resources Used by Employers for Plan Design
8
Percentage of Employers by Job Responsibility Focused on Drug Benefits
 Plan Design Features
9
Dispensing Arrangements for Specialty Pharmacy Benefit
10
Strategies for Coordinating with Medicare Part D
 Cost Sharing Highlights
11
Range of Percentage of Claim Cost Paid by Beneficiaries in Retail and Mail-service
12
Percentage Change in Average Cost Sharing Amounts from 2007 to 2008
13
Configurations of Common Plan Designs
14
Summary of Cost Sharing for Common Plan Configurations
15
Two-tier Plan Designs with Dollar Copayments
16
Two-tier Plan Designs with Coinsurance
17
Three-tier Plan Designs with Dollar Copayments
18
Three-tier Plan Designs with Coinsurance
19
Four-tier Plan Designs with Dollar Copayments
20
Four-tier Plan Designs with Coinsurance
21
Range of Retail Copayments by Drug Category
22
Average Retail Copayment Amounts by Drug Category for All Employers
23
Trends in Average Retail Copayment Amounts for All Employers
24
Summary of Ranges of Retail Coinsurance by Drug Category for All Employers
25
Summary of Average Retail Coinsurance by Drug Category for All Employers
26
Comparison of Average Retail Coinsurance by Drug Category for All Employers
27
Range of Mail Copayments by Drug Category
28
Average Mail Copayment Amounts by Drug Category for All Employers
29
Trends in Average Mail-service Copayment Amounts for All Employers
30
Summary of Range of Mail Coinsurance by Drug Category for All Employers
31
Summary of Average Mail Coinsurance by Drug Category for All Employers
32
Comparison of Average Mail Coinsurance by Drug Category for All Employers
 Pharmacy Reimbursement Highlights
33
Average Pharmacy Reimbursement
34
Trends in Retail Brand Reimbursement
35
Trends in Mail-service Brand Reimbursement
36
Average Mail-service Pharmacy Reimbursement
 Drug Cost Highlights
37
Range of Percentage of Generic Prescriptions Dispensed in Retail and Mail-service
38
Trends in Average Generic Dispensing Rates
39
Impact of Copayment Difference on Retail Generic Dispensing Rates
40
Impact of Copayment Difference on Mail Generic Dispensing Rates
41
Range of the Number of Scripts Per Member Per Month
42
Range of the Gross Cost of Scripts Per Member Per Month
43
Range of the Net Cost of Scripts Per Member Per Month
44
Range of Rebate Amounts
45
Range of Rebate Amounts
46
Lessons Learned from Two Successful Initiatives
 Utilization Management Highlights
47
2008 Drug Exclusions
48
Types of Coverage Limitations for Included Drug Treatments
49
Summary of Utilization Management Tools
 Trends at a Glance
50
Retail Brand Reimbursement
51
Mail-service Brand Reimbursement
52
Average Retail Copayment Amounts for All Employers
53
Average Mail-service Copayment Amounts for All Employers
54
Average Generic Utilization
 Bonus Tables (Not found in printed report)
55
Drug Categories Covered by Drug Plans
56
Average Retail Copayments by Drug Category
57
Average Retail Cost Sharing by Number of Members
58
Average Retail Cost Sharing by Geographic Location
59
Average Retail Cost Sharing by Industry Segment
60
Range of Retail Copayments by Drug Category
61
Range of Retail Copayments by Number of Members for Generic Drugs
62
Range of Retail Copayments by Number of Members for Preferred Brands
63
Range of Retail Copayments by Number of Members for Nonpreferred Brands
64
Range of Retail Copayments by Number of Members for Brand Drugs
65
Range of Retail Copayments by Number of Members for Lifestyle Drugs
66
Range of Retail Copayments by Number of Members for Specialty Drugs
67
Range of Retail Copayments by Geographic Location
68
Range of Retail Copayments by Industry Segment
69
Average Retail Coinsurance by Drug Category for All Respondents
70
Average Retail Coinsurance by Number of Members
71
Average Retail Coinsurance by Geographic Location
72
Average Retail Coinsurance by Industry Segment
73
Range of Retail Coinsurance for Drug Categories
74
Range of Retail Coinsurance by Number of Members for Generic Drugs
75
Range of Retail Coinsurance by Number of Members for Preferred Brands
76
Range of Retail Coinsurance by Number of Members for Nonpreferred Brands
77
Range of Retail Coinsurance by Number of Members for Brand Drugs
78
Range of Retail Coinsurance by Number of Members for Lifestyle Drugs
79
Range of Retail Coinsurance by Number of Members for Specialty Drugs
80
Range of Retail Coinsurance by Geographic Location
81
Range of Retail Coinsurance by Industry Segment
82
Average Mail Copayments by Drug Category
83
Average Mail Cost Sharing by Number of Members
84
Average Mail Cost Sharing by Geographic Location
85
Average Mail Cost Sharing by Industry Segment
86
Range of Copayments by Number of Members for Generic Drugs
87
Range of Copayments by Number of Members for Preferred Brands
88
Range of Copayments by Number of Members for Nonpreferred Brands
89
Range of Copayments by Number of Members for Brand Drugs
90
Range of Copayments by Number of Members for Lifestyle Drugs
91
Range of Copayments by Number of Members for Specialty Drugs
92
Average Mail Coinsurance by Drug Category for All Respondents
93
Average Mail Coinsurance by Number of Members
94
Average Mail Coinsurance by Geographic Location
95
Average Mail Coinsurance by Industry Segment
96
Range of Mail Coinsurance by Drug Categories
97
Range of Mail Coinsurance by Number of Members for Generic Drugs
98
Range of Mail Coinsurance by Number of Members for Preferred Brands
99
Range of Mail Coinsurance by Number of Members for Nonpreferred Brands
100
Range of Mail Coinsurance by Number of Members for Brand Drugs
101
Range of Mail Coinsurance by Number of Members for Lifestyle Drugs
102
Range of Mail Coinsurance by Number of Members for Specialty Drugs
103
Range of Mail Coinsurance by Geographic Location
104
Range of Mail Coinsurance by Industry Segment

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