Previous reviews have shown that changes in prescription drug insurance benefits can
affect medication use and adherence. We conducted a systematic review of the literature to …

BACKGROUND: Formulary restrictions are implemented to reduce pharmacy costs and
ensure appropriate use of pharmaceutical products. As adoption of formulary restrictions …

Background: Efficacious medications to treat opioid use disorders (OUDs) have been slow to
diffuse into practice, and insurance coverage limits may be one important barrier. Objectives …

Background Prescription drugs contribute to increased healthcare expenditures in the
United States (US). Use of generic drugs has been recognized as an effective tool to control …

Objectives: The US opioid medication epidemic has resulted in serious health
consequences for patients. Formulary management tools adopted by payers, specifically …

BACKGROUND: Prior authorizations (PAs) may improve appropriate use of prescription
medications. Despite potential savings for health insurance plans, the PA process is time …

Background The prior authorization (PA) process for medications used by community
providers requires modernization. Therefore, a deeper understanding of current state of PA …

Background: The transition from Medicaid-only to dual Medicare/Medicaid coverage has the
potential to reduce financial barriers to health care for patients with serious mental illness …

BACKGROUND: Formulary restrictions, intended to limit inappropriate medication use and
decrease pharmacy costs, may prevent or delay patients with bipolar I disorder from …

Objective High-deductible health plans (HDHPs) have become the predominant commercial
health insurance arrangement in the US. HDHPs require substantial out-of-pocket (OOP) …