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Subject:
Osteoporosis Drugs - Formulary Positioning
Category: Business and Money Asked by: bkelly2001-ga List Price: $30.00 |
Posted:
31 Mar 2003 18:13 PST
Expires: 30 Apr 2003 19:13 PDT Question ID: 183943 |
I'm looking for the formulary positioning (i.e. 2nd Tier vs. 3rd Tier) for two osteoporosis drugs, Fosamax and Actonel at top MCOs(managed care organizations) These include: MCOs (United Healthcare, Aetna, Cigna, Anthem, Wellpoint, Humana, HealthNet, PacifiCare, Coventry and Oxford) I would like information on the tier both Actonel and Fosamax are`on (i.e. both 2nd Tier, or Fos. 2nd Tier, Actonel 3rd Tier) for at least ten top health plans. Data for the ten plans listed above would be ideal. If not, at least 7 or 8 of the plans listed above must be included and can be supplemented with 4-5 other plans not listed. |
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Subject:
Re: Osteoporosis Drugs - Formulary Positioning
Answered By: websearcher-ga on 31 Mar 2003 19:21 PST Rated: |
Hi bkelly2001: I have been able to find the formulary information for each of the ten MCOs that you listed. Since many of them use different terminology, you may need to follow the links provided to find out *all* the details about their plans. I have tried to add "extra" information, such as whether prior authorization is required or whether there are quantity limits. United Healthcare http://www.unitedhealthcare.com/uht/files/Content/PDF/50.pdf http://www.milwaukeemedicalsociety.org/uploads/Prescribers%20Guide%20-%20Milwaukee.pdf Actonel --- second tier Fosamax --- second tier Aetna: http://www.aetna.com/formulary/2003_3-tier_aushc_mbr_guide.pdf Actonel --- middle copay Fosamax --- middle copay Cigna http://www.groupus.com/groupus/cigna/Cigna%20Formulary.pdf Actonel --- higher tier copay Fosamax --- second tier copay Anthem http://www.anthemprescription.com/formulary_print.asp Actonel --- brand name [second level] (on formulary) Fosamax --- brand name [second level] (on formulary) Wellpoint http://www.wellpointrx.com/vis/vis_alphaFormTOC.html Actonel --- brand name [second level] (on formulary) Fosamax --- brand name [second level] (on formulary) Humana http://apps.humana.com/prescription_benefits_and_services/execreq.asp?processcode=40&productid=3&drug=ACTONEL&ndc=001490470 http://apps.humana.com/prescription_benefits_and_services/execreq.asp?processcode=40&productid=3&drug=FOSAMAX&ndc=000060031 Actonel --- 2nd level (of four) Fosamax --- 2nd level (of four) HealthNet http://www.healthnet.com/pharmacy/members/commercial.asp Actonel --- 2nd level (prior authorization required) Fosamax --- 2nd level (prior authorization required) PacificCare http://www.rxsolutions.com/clientformulary/FormularySearchResult.asp?state=CA&searchText=actonel&infoid=CA&page=undefined http://www.rxsolutions.com/clientformulary/FormularySearchResult.asp?state=CA&searchText=fosamax&infoid=CA&page=undefined Actonel --- 2nd level (prior authorization required) Fosamax --- not covered Coventry http://coventry.formularies.com/single_drug_disp.asp?drugname=Actonel&drugtype=1 http://coventry.formularies.com/single_drug_disp.asp?drugname=Fosamax&drugtype=1 Actonel --- 2nd tier (quantity restrictions) Fosamax --- 2nd tier (quantity restrictions) Oxford https://www.oxhp.com/secure/broker/pharmacy_info/drug_list.html Actonel --- 3rd tier (quantity restrictions) Fosamax --- 2nd tier (quantity restrictions) I hope this information helps with your research. If you need any clarification of the information I have provided, please ask using the clarification feature and provide me with additional details as to what you are looking for. As well, please allow me to provide you with clarification(s) *before* you rate this answer. Thank you. websearcher-ga Search Strategy (on Google): [COMPANY NAME] formulary [COMPANY NAME] fosamax actonel |
bkelly2001-ga
rated this answer:
Great. Just what I needed, with links provided, additional clarifying detail and answered promptly. thanks. |
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