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Managed Care Market Perspectives on the Over-the-Counter Availability of Statins
OBJECTIVES: In April, May, and June 2003, we conducted market research with decision makers from 3 payer segments to determine their perspectives on the potential introduction of statins to the U.S. over-the-counter (OTC) market. METHODS: We selected a convenience sample of survey participants based...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Academy of Managed Care Pharmacy
2004
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438296/ https://www.ncbi.nlm.nih.gov/pubmed/15548127 http://dx.doi.org/10.18553/jmcp.2004.10.6.543 |
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author | Richards, Megan K. Blumenfield, Steven Lyon, Ronald A. |
author_facet | Richards, Megan K. Blumenfield, Steven Lyon, Ronald A. |
author_sort | Richards, Megan K. |
collection | PubMed |
description | OBJECTIVES: In April, May, and June 2003, we conducted market research with decision makers from 3 payer segments to determine their perspectives on the potential introduction of statins to the U.S. over-the-counter (OTC) market. METHODS: We selected a convenience sample of survey participants based upon prominence in the market, membership size, and by willingness to participate in our study. The 12 participating managed care organizations (MCOs) cover approximately 100 million lives. The 4 pharmacy benefit managers (PBMs) cover approximately 200 million lives. The 3 large employers (one employer withheld quantitative results) provide medical coverage to nearly 1.4 million employees, both actives and retirees. Each survey participant received a verbal description of an OTC statin and a proposed patient self-management system. We asked each participant a series of questions to obtain opinions on a number of issues related to the potential introduction of an OTC statin. RESULTS: Our research findings can be summarized in the following key CONCLUSIONS: (1) MCO representatives generally view OTC statins as a low-risk and beneficial addition to drug therapy options; (2) payer policies will continue to support access to prescription statins with no change in policy following introduction of an OTC option; (3) several of the MCOs and 75% of the PBMs anticipate a sharp, short-term increase in plan costs as a consequence of OTC statin availability; (4) survey participants believe that consumer or member reaction will be mixed and that consumer advertising and physician education will be important; (5) MCOs and PBMs are eager for involvement but cautious about partnerships with pharmaceutical companies; and (6) the details of any OTC statin offering will lay the foundation for its success. CONCLUSIONS: Based upon interviews conducted from April through June 2003, key decision makers from 4 PBMs, 12 MCOs, and 3 large employers generally considered the introduction of an OTC statin as a low risk and a beneficial addition to drug therapy. Most believed that increased awareness would result in an initial increase in plan costs, but long-term savings would accrue through improved care and availability of lower-cost OTC options for low-to-moderate-risk patients. The key concern is how to help patients gain enough knowledge and comfort to manage their own cholesterol therapy safely and successfully. |
format | Online Article Text |
id | pubmed-10438296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2004 |
publisher | Academy of Managed Care Pharmacy |
record_format | MEDLINE/PubMed |
spelling | pubmed-104382962023-08-21 Managed Care Market Perspectives on the Over-the-Counter Availability of Statins Richards, Megan K. Blumenfield, Steven Lyon, Ronald A. J Manag Care Pharm Contemporary Subjects OBJECTIVES: In April, May, and June 2003, we conducted market research with decision makers from 3 payer segments to determine their perspectives on the potential introduction of statins to the U.S. over-the-counter (OTC) market. METHODS: We selected a convenience sample of survey participants based upon prominence in the market, membership size, and by willingness to participate in our study. The 12 participating managed care organizations (MCOs) cover approximately 100 million lives. The 4 pharmacy benefit managers (PBMs) cover approximately 200 million lives. The 3 large employers (one employer withheld quantitative results) provide medical coverage to nearly 1.4 million employees, both actives and retirees. Each survey participant received a verbal description of an OTC statin and a proposed patient self-management system. We asked each participant a series of questions to obtain opinions on a number of issues related to the potential introduction of an OTC statin. RESULTS: Our research findings can be summarized in the following key CONCLUSIONS: (1) MCO representatives generally view OTC statins as a low-risk and beneficial addition to drug therapy options; (2) payer policies will continue to support access to prescription statins with no change in policy following introduction of an OTC option; (3) several of the MCOs and 75% of the PBMs anticipate a sharp, short-term increase in plan costs as a consequence of OTC statin availability; (4) survey participants believe that consumer or member reaction will be mixed and that consumer advertising and physician education will be important; (5) MCOs and PBMs are eager for involvement but cautious about partnerships with pharmaceutical companies; and (6) the details of any OTC statin offering will lay the foundation for its success. CONCLUSIONS: Based upon interviews conducted from April through June 2003, key decision makers from 4 PBMs, 12 MCOs, and 3 large employers generally considered the introduction of an OTC statin as a low risk and a beneficial addition to drug therapy. Most believed that increased awareness would result in an initial increase in plan costs, but long-term savings would accrue through improved care and availability of lower-cost OTC options for low-to-moderate-risk patients. The key concern is how to help patients gain enough knowledge and comfort to manage their own cholesterol therapy safely and successfully. Academy of Managed Care Pharmacy 2004-11 /pmc/articles/PMC10438296/ /pubmed/15548127 http://dx.doi.org/10.18553/jmcp.2004.10.6.543 Text en Copyright © 2004, Academy of Managed Care Pharmacy. All rights reserved. https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Contemporary Subjects Richards, Megan K. Blumenfield, Steven Lyon, Ronald A. Managed Care Market Perspectives on the Over-the-Counter Availability of Statins |
title | Managed Care Market Perspectives on the Over-the-Counter Availability of Statins |
title_full | Managed Care Market Perspectives on the Over-the-Counter Availability of Statins |
title_fullStr | Managed Care Market Perspectives on the Over-the-Counter Availability of Statins |
title_full_unstemmed | Managed Care Market Perspectives on the Over-the-Counter Availability of Statins |
title_short | Managed Care Market Perspectives on the Over-the-Counter Availability of Statins |
title_sort | managed care market perspectives on the over-the-counter availability of statins |
topic | Contemporary Subjects |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438296/ https://www.ncbi.nlm.nih.gov/pubmed/15548127 http://dx.doi.org/10.18553/jmcp.2004.10.6.543 |
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