Impact of Medicaid prior authorization on angiotensin-receptor blockers: can policy promote rational prescribing?

Health Aff (Millwood). 2007 May-Jun;26(3):800-7. doi: 10.1377/hlthaff.26.3.800.

Abstract

Prescription drug cost containment is a key health policy priority. State Medicaid programs have implemented policies requiring prior authorization before paying for angiotensin-receptor blockers (ARBs), a costly class of blood pressure medications. We examined the impact of these policies on drug use. We found that policies using a stepped-therapy approach reduced ARB use by 1.6 percent when first implemented and decreased the subsequent trend in ARB use by 1.3 percent per quarter; alternative approaches were unsuccessful. These findings have important implications for the development of rational drug reimbursement policy under Medicare Part D and other health insurance plans.

MeSH terms

  • Angiotensin Receptor Antagonists*
  • Antihypertensive Agents / economics
  • Antihypertensive Agents / therapeutic use
  • Drug Utilization Review
  • Humans
  • Hypertension / drug therapy
  • Medicaid / economics*
  • Medicaid / statistics & numerical data*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Reimbursement Mechanisms*
  • United States

Substances

  • Angiotensin Receptor Antagonists
  • Antihypertensive Agents