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Medicare Part D Insulin Coverage: Formulary Strategies Amid Policy Headwinds
Health Affairs Scholar
July 18, 2025 "Using Part D formulary files from 2020 -- 2025 [the authors] examined plan insulin coverage separately for Medicare Advantage Prescription Drug Plans and stand-alone Prescription Drug Plans. [They] found that plans are moving insulins to a single tier but not broadly changing their utilization management tool strategies.... This study demonstrates strategic adjustments that insurers may be making in response to policy changes; ongoing study will be needed to monitor access to and spending on insulin in Medicare as the market and policy context continue to evolve." MORE >> |
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