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. 2018 Apr 1;178(4):567-569.
doi: 10.1001/jamainternmed.2017.8016.

Medicare Spending and Potential Savings on Brand-Name Drugs With Available Generic Substitutes Excluded by 2 Large Pharmacy Benefit Managers, 2012 Through 2015

Alexander C Egilman  1 , Joshua D Wallach  1 , Joseph S Ross  1   2 , Sanket S Dhruva  3
Affiliations

Medicare Spending and Potential Savings on Brand-Name Drugs With Available Generic Substitutes Excluded by 2 Large Pharmacy Benefit Managers, 2012 Through 2015

Alexander C Egilman et al. JAMA Intern Med. .

Abstract

This study uses Medicare Part D drug utilization and spending data to estimate potential Part D program and beneficiary savings on brand-name medications excluded by pharmacy benefit managers for which generic substitutes are available.

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Conflict of interest statement

Conflict of Interest Disclosures: In the past 36 months, Dr Ross has also received support through Yale University from the Centers for Medicare and Medicaid Services to develop and maintain performance measures that are used for public reporting, from Johnson and Johnson to develop methods of clinical trial data sharing, from Medtronic, Inc, and the US Food and Drug Administration (FDA) to develop methods for postmarket surveillance of medical devices, from the FDA as part of the Centers for Excellence in Regulatory Science and Innovation program, and from the Blue Cross Blue Shield Association to better understand medical technology evaluation. No other disclosures are reported.

References

    1. Hoadley J, Cubanski J, Neuman T Medicare Part D in 2016 and trends over time. Henry J. Kaiser Family Foundation website. Published September 16, 2016. https://www.kff.org/report-section/medicare-part-d-in-2016-and-trends-ov... Accessed July 20, 2017.
    1. Centers for Medicare and Medicaid Services 2015 Medicare Drug Spending Data. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Tren.... Accessed July 20, 2017.
    1. Congressional Budget Office The Budget and Economic Outlook: 2015-2025. https://www.cbo.gov/sites/default/files/114th-congress-2015-2016/reports.... Accessed July 20, 2017.
    1. Health Strategies Group Pharmacy Benefit Managers. http://www.healthstrategies.com/sites/default/files/agendas/2015_PBM_Res.... Accessed July 20, 2017.
    1. Johansen ME, Richardson C. Estimation of potential savings through therapeutic substitution. JAMA Intern Med. 2016;176(6):769-775. - PubMed

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