RESTRICTIONS IN ACCESS TO MEDICATIONS
Pharmaceutical Benefits Under State Medical Assistance Programs
This is a very extensive state-by-state review of State Medicaid programs' pharmaceutical benefits, done in 2007 by the National Pharmaceutical Council.
DEA reverses its rules regarding multiple prescriptions for Schedule II controlled meds
Since September 2006, medications that are classified as schedule II controlled substances, such as stimulants (which are commonly prescribed for attention deficit disorder) had required new prescriptions every month. This was challenging for patients, families and prescribers. The DEA has reversed its policy on this effective Dec 1, 2007, such that subsequent prescriptions can be written covering up to 90 days of medication.
relative to Iowa Medicaid Preferred Drug List Information
many states, Iowa will be instituting a Preferred Drug List
(PDL) for its Medicaid program in an effort to curtail ever-increasing
costs medications. The legislation which enabled this
specifically excludes psychiatric medications, at least for
now, but this may change in the future. Stakeholders
in Iowa's mental health community should be following this
unfolding story closely.
the Iowa Medicaid PDL webpage for details
on status of PDL
is a "primer" which introduces some of the basic
terms and issues regarding restricted formularies, preferred
drug lists, etc., specifically as it relates to Iowa's public
mental health system. (Powerpoint presented by Dr. Flaum
at the Iowa Mental Health Conference, October 11, 2004)
Information relative to
Medicare Legislation and Rules
Health Information on Medicare Part D
useful site sponsored by a variety of mental health advocacy
groups - lots of information for providers, consumers and
finds large discrepancy between Medicare Part D and private
recent NIMH-sponored study by the Medstat group finds substantially
larger out of pocket medication expenses for elders with mental
illness through Medicare Part D than through private insurance.
information on Medicare Part D Drug Benefit
the University of Iowa Center on Aging, a good general resource
that is kept up to date.
paper on Medicare changes for dual eligibles
review of the issues
of coverage for benzodiazepines under Medicare for dual eligibles
This is one important category of medications
that will not be available to dual eligibles as of November
'06. This will impact many patients with serious mental illness.