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Tag: Prescription Drugs

New York Medicaid Prescription Drug Expenditure Trends

The Menges Group was asked to update an analysis of New York’s Medicaid prescription drug expenditure growth over the past several state fiscal years (SFY). Based on our analysis of year-over-year trends since SFY2014, we anticipate that single-digit annual growth…

Nov. 5, 2018 Download Full Report

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid MCO Savings on Prescription Drug Costs – Therapeutic Class Level Comparisons

The September edition presents Medicaid data from our Pharmacy Practice, quantifying the differences in cost per prescription between the MCO and FFS settings in two selected high-volume therapeutic classes. In both drug classes (as occurs with Medicaid prescriptions overall), the…

Sep. 1, 2018 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Assessment of Louisiana Medicaid’s Prescription Drug Management Performance and Preferred Drug List Policy Options

Legislation has been proposed in Louisiana to take the Medicaid preferred drug list (PDL) content responsibility away from the MCOs and shift it to a single state-determined PDL. The Menges Group assessed the impact of this policy option and estimated…

May. 16, 2018 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, Policy, Prescription Drugs

Assessment of Louisiana Medicaid’s Prescription Drug Carve-Out Option

Currently, Louisiana includes (carves in) the pharmacy benefit in its capitated contracts with Medicaid MCOs. During FFY2017, Louisiana had the nation’s most favorable Medicaid generic dispensing rate at 90.9% and the nation’s 8th best (lowest) cost per prescription. The Menges…

May. 15, 2018 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, Pharmacy Carve Out, Policy, Prescription Drugs

Hepatitis C Medication Market Share

The March 2018 edition of our 5 Slide Series tracks the national Medicaid market share and pre-rebate cost per prescription progression of curative Hepatitis C drugs from CY2014 through CY2017. The introduction of newer, lower cost-per-unit drugs has resulted in…

Mar. 1, 2018 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

MCOs’ Growing Role in the Medicaid Pharmacy Arena: Trends from 2013-2016

The May edition conveys the rapidly growing percentage of Medicaid prescriptions paid by managed care organizations (MCOs), and shows this progression in each state from 2013 through 2016

May. 4, 2017 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Medicaid Prescription Drug Use and Spending by Price Category, 2013 – 2016

The January edition tabulates the distribution of Medicaid pharmacy costs by unit price cohort. Explosive growth in the share of Medicaid prescriptions among drugs costing more than $1,000 per prescription (pre-rebate) continues to occur. These drugs now represent 40% of…

Jan. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid Prescription Drug Volume and Cost Trends Q1 2015- Q2 2016

The December Edition of the Series tabulates nationwide Medicaid prescription drug information from the beginning of 2015 through mid-2016. Some of the key findings are that Medicaid MCOs now pay for more than two-thirds of all Medicaid prescriptions, and that…

Dec. 4, 2016 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Price Progression of Largest Dollar Volume Medicaid Prescription Drugs

Our October edition focuses on prescription drugs, tracking Medicaid’s nationwide unit price progression from 2013-2016 for each of the 25 NDCs generating the largest Medicaid expenditures. The average annual price increases across these 25 drugs was 10% (mean) and 8%…

Oct. 4, 2016 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Prescription Drug Spending in State Medicaid Programs, Employee Health Plans, and State Prisons

This month’s edition investigates prescription drug spending in all 50 states across three major state health care payers: Medicaid, state employee health plans, and in state prisons. By comparing these expenditures to total health care spending and overall spending in…

May. 1, 2016 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Policy, Prescription Drugs