Drug Benefit Design Report

Since 1995, PBMI has been surveying employers nationwide to produce a comprehensive overview of U.S. trends in prescription drug benefits. The survey report provides comparative market data on plan design, cost sharing and utilization management. For the first time, the 2009 - 2010 report notes differences in plan design among fully-insured, self-insured, carve-out and carve-in drug benefit programs.

  Look for information on:

•   Copayments and coinsurance;
•   Drug-specific benefit and out-of-pocket maximums;
•   Generic dispensing rates;
•   Pharmacy reimbursement rates;
•   Specialty pharmacy cost sharing and dispensing;
•   Coordination with Medicare Part D for retiree coverage;
•   Per member per month utilization metrics; and utilization management tools.

Order your free print report. Visit the online resources.