Table 4.
Health plan management of antidepressant drug class (simplified), by plan characteristics
| Percent of plan products using: | |||
|---|---|---|---|
| Product type | Tier 3 or 4only | Other restrictions | No restrictions |
| HMO | 45.0 | 53.8 | 1.2 |
| PPO or CDP | 60.0 | 35.8 | 4.3 |
| POS | 56.4 | 43.6 | 0.0 |
| Behavioral Health Contracting Arrangement | |||
| External | 15.0 | 85.0 | 0.0 |
| Hybrid Internal | 72.2 | 27.8 | 0.0 |
| Internal | 4.8 | 80.1 | 15.1 |
| Contract with Pharmacy Benefits Manager | |||
| Yes | 49.0 | 48.7 | 2.3 |
| No | 70.4 | 28.4 | 1.3 |
| Profit status | |||
| For-profit | 59.4 | 38.6 | 1.9 |
| Non-profit | 14.2 | 82.7 | 3.1 |
| Region | |||
| Midwest | 52.7 | 44.3 | 3.0 |
| Northeast | 50.1 | 48.3 | 1.6 |
| South | 57.4 | 42.1 | 0.5 |
| West | 52.4 | 43.1 | 4.6 |
Note: Data are weighted.