PBM says many seniors could have avoided donut hole

April 30, 2007

According to an analysis of 2006 prescription drug claim histories by PBM Express Scripts, 23% of seniors who fell into the Medicare Part D donut hole coverage gap could have avoided it altogether by using more generics.

PBM says many seniors could have avoided donut hole According to an analysis of 2006 prescription drug claim histories by PBM Express Scripts, 23% of seniors who fell into the Medicare Part D donut hole coverage gap could have avoided it altogether by using more generics. Last year, Medicare Part D beneficiaries with many plans hit the donut hole after they reached $2,250 in drug expenses and did not receive more coverage until after they spent an additional $3,600. Among the 220,000 beneficiaries analyzed, 22% hit the donut hole in 2006 and were less likely to use generic versions of medications than beneficiaries who avoided the donut hole.

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