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Almost uniformly, the 11 formularies made the drugs available fairly when judged on three criteria: eligibility based on clinical data, restrictions placed on prescribers, and step therapy, which requires patients to try other medicines before insurers approve a prescription. Department of VeteransAffairs.
AOMs are already covered under various other insurance programs, including the Federal Employees Health Benefits Program, Medicaid, the Department of VeteransAffairs, TRICARE, commercial insurance plans, and state employee health plans. Issue Brief: Improving Prescription DrugPrice and Cost Transparency.
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