Table 1.

Part D Claims Rejections in the Nursing Home Setting: Study Data and Trends Over Time, 2006 to 2010

Year	Number of Beneficiaries	Total Claims	Total Rejections	Rejection Rate	Reasons for Rejection
					Product Not Covered	Utilization Management	Administrative Rejections
2006	452,447	3,763,985	642,196	17%	21%	33%	46%
2007	475,859	3,915,009	539,084	14%	14%	44%	42%
2008	453,574	3,768,178	594,401	16%	12%	49%	40%
2009	458,694	3,856,516	710,461	18%	11%	46%	43%
2010	428,507	3,859,998	736,387	19%	10%	44%	46%

Source: Authors’ analysis of data provided by Omnicare, Inc, the nation’s largest long-term care pharmacy. Data include all paid and rejected Part D claims from the month of March in each study year.