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Published in 2025 at "Journal of medical economics"
DOI: 10.1080/13696998.2025.2558449
Abstract: Abstract Aims Medicare plans employ drug utilization management strategies, including prior authorization (PA) and step therapy (ST), or formulary tier increases, to control spending. However, PA and ST can delay treatment access and encourage use…
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Keywords:
tier increase;
utilization management;
access;
clinical events ... See more keywords