Issue link: http://read.uberflip.com/i/1501248
Table of contents Glossary .................................................................... 3 Foreword ................................................................... 4 1. Introduction .......................................................... 7 2. Costs and utilization .............................................. 9 a. Cost trends ..................................................................... 10 b. Utilization trends ............................................................... 17 c. Utilization of generic drugs ................................................ 21 3. Specialty drugs .................................................. 25 a. Share of costs and claimants ......................................... 26 b. Biosimilar biologics ......................................................... 30 4. Drugs by therapeutic class ..................................... 32 a. Top 10 by eligible amount .............................................. 33 b. Drug pipeline ................................................................. 39 5. Plan management .............................................. 40 a. Generic substitution policy ............................................... 41 b. Coinsurance and deductible ............................................ 42 c. Dispensing fee cap ......................................................... 43 d. Annual maximum ............................................................ 45 e. Prior authorization ........................................................... 46 6. Conclusion ........................................................ 47