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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.
Some members of this already vulnerable group will wind up facing what physician Andrew Schuman recently called “a tragedy happening in slow motion” — an ongoing, nationwide shortage of critical oncology drugs that routinely save or extend the lives of children and adults.
Some issues that were top of mind at the meeting included coordination and consistency of care, disparities in women’s care, resources for caregivers, access to care for Veterans in rural communities, and support for mental health.
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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