Exhibit 3. Benchmark plan restrictions for study beneficiaries (n = 113).
| Plan Restrictions | Benchmark Plan Name1 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AS | BC | BR | FH | FV | HN | |||||||
| # | % | # | % | # | % | # | % | # | % | # | % | |
| Frequency of Restriction | ||||||||||||
| Prior Authorization | 10 | 8.8 | 9 | 8.0 | 8 | 7.1 | 7 | 6.2 | 9 | 8.0 | 6 | 5.3 |
| Quantity Limit | 16 | 14.2 | 92 | 81.4 | 95 | 84.1 | 85 | 75.2 | 34 | 30.1 | 106 | 93.8 |
| Step Therapy | 11 | 9.7 | 0 | 0.0 | 20 | 17.7 | 41 | 36.3 | 25 | 22.1 | 22 | 19.5 |
| % Medications Restricted in Beneficiaries w/ ≥1 | ||||||||||||
| Restricted Medication | ||||||||||||
| Prior Authorization | 15.4 | 16.2 | 11.4 | 11.8 | 10.7 | 13.3 | ||||||
| Quantity Limit | 14.8 | 36.6 | 34.0 | 34.4 | 15.9 | 47.6 | ||||||
| Step Therapy | 17.7 | N/A | 16.9 | 20.6 | 15.7 | 14.3 | ||||||
1
AS, Advantage Star Plan by RxAmerica; BC, BlueCross; BR, Bravo Rx; FH, First Health Part D Premier; FV, Fox Value Plan; HN, Health Net Orange Option 1
SOURCE: Medicare Plan Finder Tool