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Name Brand Medication Formulary Status General Pharmacy Index 4 Category Aciphex B tier brand Proton pump inhibitors Actonel B tier brand—maintenance benefit Calcium regulators Allegra B tier brand Antihistamine-non-sedating Amaryl B tier brand—maintenance benefit Sulfonylureas Augmentin B tier brand Penicillin combinations Avandia C tier non-preferred Insulin-sensitizing agents Avelox C tier non-preferred Fluoroquinolones Clarinex Not listed Antihistamine-non-sedating Cozaar B tier brand—maintenance benefit Angiotensin II receptor antagonists Detrol La C tier non-preferred Urinary antispasmodics Ditropan Xl Not listed Urinary antispasmodics Elidel Not listed Immunomodulating agents—dermatitis Imitrex B tier brand Serotonin agonists Lexapro Unlisted Selective serotonin reuptake inhibitors Maxalt B tier brand Serotonin agonists Nasacort B tier brand Nasal steroids Nexium Not listed Proton pump inhibitors Oxytrol Not listed Urinary antispasmodics Paxil B tier brand Selective serotonin reuptake inhibitors Protonix B tier brand Proton pump inhibitors Toprol Xl B tier brand—maintenance benefit Beta blockers cardioselective Valtrex C tier non-preferred Herpes agents Vioxx C tier non-preferred Nonsteroidal anti-inflammatory drugs Wellbutrin Unlisted (SR is listed) Miscellaneous antidepressants Zocor B tier brand—maintenance benefit HMG CoA reductase inhibitors * Formulary Scott & White Health Plan (SWHP) preference in descending order: (1) A tier = non-name brand generic; (2) B tier—maintenance benefit = specific name brand with quantity discounts for SWHP pharmacies; (3) B tier = specific name brand; (4) C tier = non-preferred name brand; (5) unlisted.
Clinic Total Prescriptions Non-study Medications Study Medications No. % No. % X† 50,849 43,750 86.0 7099 14.0 Y 50,686 44,642 88.1 6044 11.9 Z 42,907 37,180 86.7 5727 13.4 Total 144,442 125,572 86.9 18,870 13.1 * P < .0001 using χ2 test.
† Significantly different from the rest in proportions of prescriptions for study medications.
Clinic Total Prescriptions Preferred Name Brand Non-preferred Name Brand Not Included in Formulary No. % No. % No. % X† 7099 6,246 88.0 529 7.5 324 4.6 Y 6044 5,359 88.7 380 6.3 305 5.1 Z 5727 5,056 88.3 482 8.4 189 3.3 Total 18,870 16,661 88.2 1,391 7.4 818 4.3 * P < .0001 using χ2 test.
† Significantly different from the rest in prescriptions for preferred name brand medications.
Clinic No. of Physicians Mean SD Min Max X† 8 $47.57 $4.32 $41.83 $56.67 Y 8 $39.49 $2.49 $34.92 $42.04 Z 7 $41.48 $1.94 $38.17 $43.97 * P < .0001 using ANOVA.
† Significantly different from the rest in average cost of 30-day prescription.
Clinic Total Prescriptions Preferred Name Brand Non-preferred Name Brand Not Included in Formulary Costs % Costs % Costs % X† $711,482 $621,589 87.4 $54,547 7.7 $35,345 5.0 Y $646,885 $584,272 90.3 $34,110 5.3 $28,504 4.4 Z $536,118 $471,848 88.0 $44,724 8.3 $19,546 3.7 Total $1,894,485 $1,677,709 88.5 $133,381 7.0 $83,395 4.4 * P < .0001 using χ2 test.
† Significantly different from the rest in total costs for unlisted formulary medications.
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