Coverage generosity of novel anti‐rheumatic drugs in Medicare Advantage and stand‐alone Part D plans

The growing exclusions of self-administered DMARDs across several mechanisms of action and heterogeneity in coverage by plan type suggest potential barriers to accessing optimal RA treatments. Further monitoring of formulary adequacy and research into the clinical impacts of formulary exclusions are warranted.

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Publication Details

Journal
Arthritis & Rheumatology
Published
2026-03-17
DOI
https://doi.org/10.1002/art.70132
Primary Topic
Pharmaceutical Economics and Policy
Type
article
Field-Weighted Citation Impact
0.00
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article

Coverage generosity of novel anti‐rheumatic drugs in Medicare Advantage and stand‐alone Part D plans

Robert W. Corty, Youngmin Kwon, Stacie B. Dusetzina
Arthritis & Rheumatology
Pharmaceutical Economics and Policy
article

Coverage generosity of novel anti‐rheumatic drugs in Medicare Advantage and stand‐alone Part D plans

Robert W. Corty, Youngmin Kwon, Stacie B. Dusetzina
article en

Abstract

The growing exclusions of self-administered DMARDs across several mechanisms of action and heterogeneity in coverage by plan type suggest potential barriers to accessing optimal RA treatments. Further monitoring of formulary adequacy and research into the clinical impacts of formulary exclusions are warranted.

Arthritis & Rheumatology
Vanderbilt University Medical Center (US)
Good health and well-being
Openalex Percentile: Top 23%
Pharmaceutical Economics and Policy
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