Coronavirus (COVID-19) News and Resources
Coronavirus (COVID-19) Webcasts
Subscribe to Free Daily Newsletters
Post a Job

Featured Jobs

Retirement Plan Processor
T Bank NA
(Dallas TX)
Defined Contribution Account Manager
Nova 401(k) Associates logo
Nova 401(k) Associates
(Houston TX / Dallas TX / Scottsdale AZ / Telecommute)
ESOP Valuation Writer
Unique ESOP Valuation Provider

Free Daily News and Jobs

“BenefitsLink continues to be the most valuable resource we have at the firm.”

-- An attorney subscriber

Get the BenefitsLink app LinkedIn

<< Previous news item   |   Next news item >>

Specialty Tier Pharmacy Benefit Designs in Commercial Insurance Policies: Issues and Considerations
State Health Reform Assistance Network, a program of the Robert Wood Johnson Foundation Link to more items from this source
Aug. 19, 2014
8 pages. "The one design that has survived and emerged as the most common approach [to moderating the costs of providing prescription drug coverage] is the tiering of benefits, or benefit designs that assign covered prescription drugs to a 'tier' based on cost-sharing and other requirements, like preauthorization.... [F]or those in need of drugs on the higher tiers with the most cost-sharing, three important issues have emerged for regulators to consider: [1] the affordability of prescription drug therapies for those who need them most; [2] the adherence challenges that result from loss of affordability; and [3] the potential for tiered pharmacy benefit designs to violate the anti-discrimination provisions of the ACA."

Please click here to report this link if it is broken (for example, if you see a "404 File Not Found" error message after you click on the link above).
An important word about authorship: BenefitsLink® is providing a hypertext link to the item shown above, but is not the author of the item (unless otherwise specified).
© 2020, Inc.