TY  - GEN
AU  - Shrank, William H.
AU  - Young, Henry. N.
AU  - Ettner, Susan L.
AU  - Glassman, Peter A.
AU  - Asch, Steven M.
AU  - Kravitz, Richard L.
SN  - 1088-0224
AU  - Shrank, William H.
AU  - Young, Henry. N.
AU  - Ettner, Susan L.
AU  - Glassman, Peter A.
AU  - Asch, Steven M.
AU  - Kravitz, Richard L.
LA  - eng
CN  - ENP-e6dfb340-3120-4ccf-b198-f8ca766e43f6
TI  - Do the incentives in 3-tier pharmaceutical benefit plans operate as intended? Results from a physician leadership survey
PY  - 2005
AB  - Background: Three-tier pharmaceutical benefit systems use graded co-payments to steer patients toward "preferred" formulary medications.
Objectives: To evaluate physicians’ knowledge of formularies and out-of-pocket costs in such systems, as well as their perceived responsibility for helping patients manage out-of-pocket costs.
Study Design: Self-administered written survey.
Methods: Physician leaders participating in the California Medical Association Leadership Conference were surveyed.
Results: A total of 133 responses were received from 205 participants (65\textbackslash% of the prescriptions they write.
Conclusions: Physician leaders reported that they often do not possess the knowledge to assist patients in managing out-of-pocket costs for prescription drugs and they depend on pharmacists to communicate patient preferences in making prescribing decisions. As a result, price preferences are communicated indirectly, likely less efficiently, rather than intentionally when prescribing decisions are made.
ER  -