Objective: To investigate the extent to which preferred drug lists and tiered formularies reflect evidence of value, as measured in published cost-utility analyses (CUAs). Methods: Using 1998-2001 ...

Objectives: To examine the relative preferred placement of commonly dispensed prescription drugs and to assess variations in drug coverage across a convenience sample of 12 health insurance plans.

If a drug is not essential, then it should not be included on the formulary. Examples of drugs that may be considered nonessential under this definition include antihistamines, antiimpotence products, ...

Although most factors in our univariate and multivariate analyses had similar directions (e.g., a positive association was found between HMO affiliation and providers' knowledge of formularies), the ...

Posaconazole, an antifungal medication, is priced at $4,500 for a 30-day supply—while an alternative, fluconazole, costs less than $14. This is an example of a growing trend: medications, including ...

Forbes contributors publish independent expert analyses and insights. Joshua Cohen is a Boston-based writer who covers health policy. Former U.S. Supreme Court Justice Louis Brandeis popularized the ...

In January, the two largest pharmacy benefit managers (PBMs) - Express Scripts and CVS Caremark - increased the numbers of drugs on their 2020 exclusion lists. These lists include drugs that a PBM ...

Millions rely on Medicare Part D, but many prescription drugs won't be covered in 2026. See which meds are excluded, why, and how to avoid costly surprises.