What types of tools can Medicare Part D prescription drug plans use that affect the way their enrollees can access medications?

The options are

a. Part D plans may use varying co-payments for brand name and generic drugs, but they may not restrict access through prior authorization.

b. The Federal government establishes a set formulary, or list of covered drugs, each year that the Part D plans must use. Beneficiaries should consult the government's list prior to deciding whether they wish to enroll in a Part D plan during that year.

c. Part D plans do not have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization.

d. Part D plans may use varying co-payments, but they are required to cover all prescription medications on the market.

The answer is c. Part D plans do not have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization.

There should be a variation in the drugs covered as the ones commonly used should cost less.

Reducing the cost of healthcare and introduction of flexible payment plans such as tiered copayments will go a long way in ensuring it’s more affordable and cost effective.

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