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Related Experiment Videos

Do open formularies increase access to clinically useful drugs?

B L Walser, D Ross-Degnan, S B Soumerai

    Health Affairs (Project Hope)
    |January 1, 1996
    PubMed
    Summary

    Eliminating restrictive Medicaid drug formularies improved access to some top-selling prescriptions. However, most of these drugs offered limited additional therapeutic value for patients.

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    Area of Science:

    • Health Policy
    • Pharmacoeconomics
    • Public Health

    Background:

    • State Medicaid programs previously used restrictive formularies, limiting access to prescription drugs.
    • These formularies were criticized for potentially denying essential medications to vulnerable populations.
    • Legislation in 1990 disallowed restrictive formularies in Medicaid programs nationwide.

    Purpose of the Study:

    • To evaluate the impact of eliminating restrictive Medicaid formularies on access to top-selling prescription drugs.
    • To assess the therapeutic benefit of the prescription drugs affected by this policy change.

    Main Methods:

    • Analysis of the 200 top-selling prescription drugs in the United States.
    • Comparison of drug access before and after the 1990 Omnibus Budget Reconciliation Act.

    Main Results:

    • Improved access was observed for a subset of the top-selling drugs after restrictive formularies were disallowed.
    • The majority of these widely-sold drugs provided questionable or no significant additional therapeutic benefit.

    Conclusions:

    • The removal of Medicaid restrictive formularies enhanced patient access to certain high-selling medications.
    • The policy change did not substantially improve the availability of drugs with significant therapeutic advancements.

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