Health Affairs

Health Affairs, 25, no. 5 (2006): 1423-1432 doi: 10.1377/hlthaff.25.5.1423 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Figures Only Full Text (HTML) Reprint (PDF) Appendix Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Hartung, D. M. Articles by Haxby, D. G. Search for Related Content PubMed PubMed Citation Articles by Hartung, D. M. Articles by Haxby, D. G. Related Collections Insurance Coverage Legal/Regulatory Issues Managed Care Managed Care - Physicians Business Of Health Pharmaceuticals Physicians State/Local Issues Health Spending Consumer Issues Evidence-Based Medicine

DataWatch

An Evaluation Of Oregon’s Evidence-Based Practitioner-Managed Prescription Drug Plan

Daniel M. Hartung, Kathy L. Ketchum and Dean G. Haxby

This paper describes Oregon’s implementation of its publicly developed, evidence-based, Practitioner-Managed Prescription Drug Plan (PMPDP). Oregon’s PMPDP was initially self-enforced with a dispense as written (DAW) exception process, followed by an educational prior authorization (soft PA) method, and finally no active enforcement. Market-share trends indicate that the educational prior authorization process was most effective at increasing the use of preferred agents. Pharmacy costs decreased 9.1 percent and 17.7 percent after implementation of the DAW and soft PA policies, respectively. Data from nonenforced PMPDP classes showed no change; this suggests the need for effective methods to encourage PMPDP compliance.

                      What's this?