• placement
  • In cases where "no sufficient evidence exists" a drug is any less safe, (according to the evidence report) the drug is declared "substitutable", and eligible for placement on the PDL, and for the supplemental rebate program. (wikipedia.org)
  • behavior
  • Compared to the large number of prescriptions, relatively few individuals increase their dose on their own initiative or engage in drug-seeking behavior. (wikipedia.org)
  • As well as producing training programs and publications, the group is undertaking research in a number of member countries, focused primarily on changing behavior to improve drug use. (wikipedia.org)
  • Medicare
  • In the United States, a pharmacy benefit manager (PBM) is a third-party administrator (TPA) of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. (wikipedia.org)
  • Another large group of Medicare beneficiaries get prescription drug coverage under plans offered by former employers. (wikipedia.org)
  • This is most often implemented-as is the case for drug coverage for those not on Medicare-through incentives to use generic drugs over brand-name drugs. (wikipedia.org)
  • Medicare beneficiaries must enroll in a Part C or Part D plan to participate in the federal-government-subsidized drug program. (wikipedia.org)
  • The association with HMOs begun in the 1980s was formalized under President Clinton in 1997 as Medicare Part C. In 2003, under President George W. Bush, a Medicare program for covering almost all drugs was passed (and went into effect in 2006) as Medicare Part D. The government added hospice benefits to aid the elderly on a temporary basis in 1982, and made this permanent in 1984. (wikipedia.org)
  • Patient
  • Patient noncompliance in taking prescription drugs, especially among the chronically ill, was costing the pharmaceutical companies billions in lost income each year. (managedcaremag.com)
  • The Act specified that pharmacists can substitute for a preferred drug, (if one exists in that state), and must offer counseling to the patient on the substitution. (wikipedia.org)
  • prescriber
  • This work originated from the Formulary Leveraged Improved Prescribing (FLIP) project, which was funded by the Attorney General Consumer and Prescriber Education Grant Program, and was supported by the Agency for Healthcare Research and Quality grant U18HS016973 funding the UIC Center for Education and Research on Therapeutics (CERT) program. (plos.org)
  • therapy
  • The incentive is also often implemented via a system of tiered formularies in which some brand-name drugs are less expensive than others and not subject to step therapy. (wikipedia.org)
  • programs
  • In retrospect, even Matheson concedes that when drug company salesmen went calling on clients to sell them disease management programs, they were also (or really) selling (or perceived to be selling) their pharmaceutical products. (managedcaremag.com)
  • SXC has three separate but interrelated business segments which deal with prescription drug programs. (wikipedia.org)
  • dependence
  • The use of alprazolam during pregnancy is associated with congenital abnormalities, and use in the last trimester may cause fetal drug dependence and withdrawal symptoms in the post-natal period as well as neonatal flaccidity and respiratory problems. (wikipedia.org)
  • evidence
  • The Act stipulates the decision must be made in conjunction with a compilation of evidence, as well as public comment, to generate the class wide drug comparison. (wikipedia.org)
  • products
  • The drug companies also continued to influence prescribing patterns by marketing their products to doctors, as well as in more subtle (or, depending on your point of view, more overt) ways: sponsoring conferences, offering research grants, even giving doctors gifts for their "consideration" of specific products. (managedcaremag.com)
  • business
  • The Harvard Business Review, a year later, called the Medco deal "an effort to secure a favorable competitive position for Merck," even as SmithKline Beecham and Lilly quickly followed suit. (managedcaremag.com)
  • On December 19, 2008, the company also acquired Zynchros, an eight-year-old Seattle-based formulary management business. (wikipedia.org)
  • primarily
  • According to the American Pharmacists Association (APhA), "PBMs are primarily responsible for developing and maintaining the formulary, contracting with pharmacies, negotiating discounts and rebates with drug manufacturers, and processing and paying prescription drug claims. (wikipedia.org)
  • disease
  • It wasn't long before people concluded that disease management was little more than a pitch by the drug companies to increase profits. (managedcaremag.com)
  • This increased utilization has led to an escalation in the misuse and abuse of opioids, including overdoses and deaths, so much so that the Center for Disease Control (CDC) has characterized the issue as an epidemic. (helioscomp.com)
  • pharmaceutical
  • To develop the national pharmaceutical potential towards the achievements of self-reliance in drugs and in support of national economic growth. (wikipedia.org)
  • eligible
  • The Act also allows drugs listed as preferred to be eligible for "sealed non-transparent rebates" to occur from the manufacturer of the drug to the state agency. (wikipedia.org)
  • company
  • Drug company leaders, however, saw storm clouds on the horizon. (managedcaremag.com)
  • Stock ownership: Pharm I.R., Inc. (my own company, specializing in preventing and detecting drug name confusion errors). (plos.org)
  • guide
  • It can educate new committee members, guide discussions of drugs proposed for formulary addition, and be used to evaluate the quality of committee decision making. (plos.org)
  • According
  • For example, the national drug policy for Indonesia drawn up in 1983 had the following objectives: To ensure the availability of drugs according to the needs of the population. (wikipedia.org)
  • program
  • Our drug testing and monitoring (DTM) service is an on-going monitoring program for high-risk injured persons. (helioscomp.com)
  • changes
  • To achieve these objectives in Indonesia, the following changes were implemented: A national list of essential drugs was established and implemented in all public sector institutions. (wikipedia.org)
  • tool
  • The perception that DM is merely a drug marketing tool seems finally to have vanished from this healthy, though fragmented, industry. (managedcaremag.com)
  • insurance
  • This previous sentence relates to how the administrator of the drug insurance designs the deductible/co-pay/formulary/donut-hole/pharmacy-preference aspects of each plan and has no direct relevance to the beneficiary. (wikipedia.org)