TABLE 2.
Coverage of the 300 Most Common Prescription Drugs for the Elderly, by Plan*
# of Drugs Covered | Percent of Rx Use Accounted for by Excluded Medications |
||||
---|---|---|---|---|---|
Plan | Tier 1 | Tier 2 | Tier 3 | # Not Covered |
|
Part D Plans | |||||
A | 157 | 63 | 26 | 6 | 7.0 |
B | 157 | 63 | 26 | 6 | 7.0 |
C | 157 | 63 | 26 | 6 | 7.0 |
D | 150 | 67 | 31 | 4 | 4.4 |
E | 147 | 49 | 52 | 4 | 4.4 |
F | 155 | 61 | 12 | 24 | 4.7 |
G | 149 | 70 | n/a | 33 | 7.3 |
H | 154 | 68 | n/a | 30 | 5.1 |
I | 157 | 59 | n/a | 36 | 7.8 |
J | 156 | 40 | 15 | 41 | 12.6 |
Non-Part D Plans† | |||||
MediCal | 251 | n/a | n/a | 1 | 0.0 |
TRICARE | 154 | 81 | 11 | 6 | 1.9 |
CALPERS | 158 | 78 | 14 | 2 | 0.3 |
Blue Cross | 157 | 59 | 36 | 0 | 0.0 |
FEP | 161 | 75 | 16 | 0 | 0.0 |
VA | 168 | n/a | n/a | 84 | 24.7 |
Kaiser | 151 | 26 | n/a | 75 | 24.6 |
Sources: Fingertip Formulary, 2007 and Verispan’s Vector One National Audit.
The 300 most common drugs was reduced to 252 due to 33 generic/brand duplicates and 15 drugs not covered under Part D. The percent of total prescriptions accounted for by excluded medications is calculated using Verispan’s Vector One National Audit.
Note: The names of the ten largest Part D plans are omitted from the table at the request of a sponsor. Since this information is publicly available, we would reconsider this omission at the editor’s request.