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. 2022 May 3;100(2):562–588. doi: 10.1111/1468-0009.12565

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© 2022 The Authors. The Milbank Quarterly published by Wiley Periodicals LLC on behalf of The Milbank Memorial Fund.

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Coverage With Utilization Restrictions for Protected and Nonprotected Drugs According to Drug‐Related Characteristics

Abbreviations: CMS, Centers for Medicare and Medicaid Services; FDA, US Food and Drug Administration

Results obtained from enrollment‐weighted multivariable logistic regression analysis, also controlling for approval year and plan type. Bars represent the subset of plans that cover new drugs. For example, over 90% of plans that covered drugs in CMS protected classes had utilization management tools. None of the differences was statistically significant.