Nearly Two-Thirds Of Prescriptions Initially Filled By Medicare Beneficiaries Were For Brand-Name Drugs, Study Finds

Main Category: Medicare / Medicaid / SCHIP
Also Included In: Pharmacy / Pharmacist;  Pharma Industry / Biotech Industry
Article Date: 26 Sep 2008 - 8:00 PDT

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Medicare beneficiaries enrolled in the prescription drug benefit are more likely to ask pharmacists for generic medications when they pay for them and for more expensive brand-name treatments when the program provides coverage, according to a study released on Thursday by Medco Health Solutions, the AP/San Francisco Chronicle reports.

According to the study, brand-name medications accounted for almost two-thirds of all prescriptions initially filled by Medicare beneficiaries. The majority of Medicare beneficiaries switched to generic medications only after they reached the so-called "doughnut hole" coverage gap, in which they must cover the full cost of the prescriptions, the study found. The study also found that brand-name medications accounted for 59% of prescriptions filled by Medicare beneficiaries who received catastrophic coverage, under which the program covers 95% of the prescriptions' cost.

Medco Chief Medical Officer Woody Eisenberg said that, when Medicare beneficiaries reach the coverage gap, they "become acutely aware of the cost difference between brand-name and generic drugs and most make the switch."

Tricia Neuman, a Kaiser Family Foundation vice president and director of the Medicare Policy Project at the foundation, said, "It may be a question of education, that some people simply believe brand-name drugs work better than generics." Research indicates that physicians in most cases do not discuss the potential cost savings of generic medications, Neuman added (Perrone, AP/San Francisco Chronicle, 9/25).

Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation.

© 2008 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

Article adapted by Medical News Today from original press release.
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