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. 2023 Feb 3;4(2):e225610.
doi: 10.1001/jamahealthforum.2022.5610.

Characteristics of Prior Authorization Policies for New Drugs in Medicare Part D

Huseyin Naci  1 , Robin Forrest  1 , Mike Zhai  2 , Amanda R Stofesky  3 , Aaron S Kesselheim  2
Affiliations

Characteristics of Prior Authorization Policies for New Drugs in Medicare Part D

Huseyin Naci et al. JAMA Health Forum. .
No abstract available

Plain language summary

This cross-sectional study examines the characteristics of prior authorization policies for new drugs in Medicare Part D to understand whether they are consistent with US Food and Drug Administration indications.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Naci reported grants from Commonwealth Fund during the conduct of the study; grants from National Institute for Health and Care Research, grants from UK Research and Innovation, grants from Health Foundation, personal fees from Pharmaceutical Group of the European Union, and personal fees from the BMJ outside the submitted work. Dr Kesselheim reported grants from Arnold Ventures and grants from Kaiser Permanente Institute for Health Policy during the conduct of the study. No other disclosures were reported.

Figures

Figure.
Figure.. Frequency and Type of Prior Authorization Programs Covering New Drugs in Medicare Part D
Part D plans offered by the 8 largest insurers in 2020 were identified in Cambridge, Massachusetts (zip code 02139) or Los Angeles, California (zip code 90029).
See this image and copyright information in PMC

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