{"id":18119,"date":"2021-05-06T10:28:31","date_gmt":"2021-05-06T14:28:31","guid":{"rendered":"https:\/\/medicarereport.org\/?p=18119"},"modified":"2021-05-06T10:28:31","modified_gmt":"2021-05-06T14:28:31","slug":"part-d-plans-increasingly-place-generic-drugs-on-higher-formulary-tiers","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=18119","title":{"rendered":"Part D plans increasingly place generic drugs on higher formulary tiers"},"content":{"rendered":"<p>The audience was reminded during a House Energy and Commerce Committee hearing on drug pricing reform, \u201cthat ways in which health plans and pharmacy benefit managers structure pharmacy benefits can have as negative an impact on beneficiaries\u2019 out-of-pocket costs as high launch prices of new pharmaceuticals and rising list prices of existing drugs.\u201d A recent report from Avalere, a healthcare consulting firm, found \u201cthis year Medicare Part D (outpatient) plans place generic prescription drugs on generic tiers with low patient cost-sharing only 45% of the time; nearly a 20% decrease since 2016 when 64% of generic drugs were assigned to the lowest formulary tiers.\u201d Read the attached article for more details <a href=\"https:\/\/www.forbes.com\/sites\/joshuacohen\/2021\/05\/05\/medicare-part-d-plans-increasingly-place-generic-drugs-on-non-generic-tiers-warped-incentives-hurt-medicare-patients\/?sh=2c4ef7aed149\">here\u2026<\/a><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-10021\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-768x512.jpg 768w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/dreamstime_m_36312255pills-medicine-dollar-cost-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<pre><strong>Notice:<\/strong> The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>The audience was reminded during a House Energy and Commerce Committee hearing on drug pricing reform, \u201cthat ways in which<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-18119","post","type-post","status-publish","format-standard","hentry","category-part-dprescription-drugs"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/18119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18119"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/18119\/revisions"}],"predecessor-version":[{"id":18120,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/18119\/revisions\/18120"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18119"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18119"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}