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Copayment for pharmaceutical services in a Medicaid program.

A A Nelson, M R Quick

    Contemporary Pharmacy Practice
    |December 7, 1980
    PubMed
    Summary
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    Copayments in Medicaid drug programs did not create economic barriers for patients. However, physicians in high-volume pharmacies prescribed more doses per prescription, a change welcomed by pharmacists.

    Area of Science:

    • Health Economics
    • Pharmaceutical Policy
    • Medicaid Drug Programs

    Background:

    • Copayments for prescription drugs are increasingly used in Medicaid programs to fund dispensing fee increases.
    • Concerns exist that copayments may alter physician prescribing habits and create economic barriers for low-income patients.

    Purpose of the Study:

    • To assess pharmacy providers' perspectives on copayment provisions in the South Carolina Medicaid drug program.
    • To investigate the impact of copayments on patient access to necessary medications and physician prescribing behavior.

    Main Methods:

    • A survey was distributed to 200 randomly selected pharmacy providers in the South Carolina Medicaid drug program.
    • A high response rate of 91% was achieved, providing a robust dataset for analysis.

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    Main Results:

    • The study did not support the theory that copayments create an economic barrier to essential pharmaceutical consumption.
    • Pharmacy providers in high-volume Medicaid pharmacies reported that physicians adjusted prescribing habits, opting for larger quantities of doses per prescription.
    • Pharmacists generally expressed high satisfaction with the copayment provision.

    Conclusions:

    • Copayments in Medicaid drug programs do not appear to impede patient access to necessary medications.
    • Physician prescribing patterns may shift towards larger prescription quantities in response to copayment policies, particularly in high-volume settings.
    • The implementation of copayments has generally been met with satisfaction among pharmacists.