Economic Implications of Urologist Prescription Practices Among Medicare Part D Beneficiaries

    Peter S. Kirk, Tudor Borza, James M. Dupree, John Wei, Chad Ellimoottil, Megan Veresh Caram, Brent K. Hollenbeck, Ted A. Skolarus
    TLDR Using more low-cost and generic drugs could save Medicare Part D a lot of money.
    The study analyzed urologist prescription patterns for generic and brand name drugs used to treat benign prostate enlargement, erectile dysfunction, and overactive bladder among Medicare Part D beneficiaries in 2014. It found that the use of higher cost and non-generic drugs resulted in excess Medicare Part D payments totaling $410,471,433. Specifically, excess payments were $158,935,926 for benign prostate enlargement drugs, $3,105,023 for erectile dysfunction drugs, and $248,430,484 for overactive bladder drugs. The study concluded that increasing the use of low-cost and generic drugs could significantly reduce Medicare Part D medication spending.
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