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. 2019 Jan 8;34(4):518–520. doi: 10.1007/s11606-018-4752-8

Table 2.

Medicare Prescription Drug Plan Formulary Coverage and Use of Utilization Management for Individual Benzodiazepines, Non-benzodiazepine Sedative Hypnotics, and Gabapentinoids, 2017 Second Quarter

Formulary coveragea No coverage (%) Unrestrictive coverage (%) Restrictive coveragea (%) Imposes a quantity limit (%) Requires prior authorization (%) Requires step therapy (%)
Benzodiazepines
 Alprazolam 11.9 21.9 67.1 75.7 7.5 0
 Chlordiazepoxide 48.9 37.6 13.5 57.4 17.7 0
 Clonazepam 0 28.8 71.2 62.2 22.5 2.1
 Clorazepate 0 27.2 72.8 63.8 37.0 0
 Diazepam 0 19.6 80.4 72.0 39.7 0
 Estazolam 59.4 33.6 7.0 55.9 23.4 0
 Flurazepam 56.9 38.2 4.9 45.2 17.9 0
 Lorazepam 0 17.5 82.5 74.6 19.6 0
 Oxazepam 33.9 28.6 37.5 34.6 28.3 0
 Quazepamb 100
 Temazepam 45.2 22.8 32.0 63.8 58.5 0
 Triazolam 60.3 36.5 3.2 53.3 13.3 0
Non-benzodiazepine sedative hypnotics
 Doxepin 0 39.4 60.6 0 57.1 3.4
 Zaleplon 23.3 3.8 72.9 78.6 54.8 10.0
 Zolpidem 4.5 1.4 94.1 84.5 65.4 8.3
Gabapentinoids
 Gabapentin 0 59.8 40.2 40.2 0 0
 Gabapentin enacarbilb 100
 Pregabalin 0 28.6 71.8 64.0 16.1 1.1

aRestrictive coverage defined as use of one or more utilization management strategy: quantity limit, prior authorization requirement, and step therapy requirement

bDrug was not covered by any formulary over the study period