Quote of the Day

“If you put a drug on a formulary exclusion list, that means the member bears the entire drug cost. And in some cases, depending on how the exclusion is designed, it wouldn’t even apply to the deductible. So we’d rather not [make exclusions]. But I will say that we are being asked more and more about formulary exclusion lists from both our fully insured business at each Blues plan and especially among our self-insured employer groups.”



— Pat Gleason, Pharm.D., director of health outcomes at Prime Therapeutics LLC, and a co-author of a paper appearing in the October issue of Health Affairs, told AIS’s Drug Benefit News.