Managed Care Weekly Digest
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Medicare and Medicaid
Research reports from K.L. Ramser and co-authors provide new insights into medicare and medicaid
July 13th, 2009
"In July 2005, the State of Tennessee Medicaid Program (TennCare) announced formulary changes for proton pump inhibitors (PPIs) to be implemented in August 2005. Prior to these changes, pantoprazole was the only preferred PPI, and there were no restrictions to its use," researchers in the United States report. "The revised formulary included 3 preferred PPIs (esomeprazole, lansoprazole, and omeprazole OTC), all of which required prior authorization (PA). In order to obtain an approved PA for a PPI, the patient was required to have either (a) a diagnosis of erosive esophagitis, Barrett's esophagus, Schatzki's ring, a pathological hypersecretory condition (e.g.,...
Source: Managed Care Weekly Digest (2009-07-13)
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