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The new Medicare drug benefit starts in 2006. Physicians are working now to make sure that enough drugs make the list and that the hassle factor is low.
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Doctors are eager for Medicare to start covering the outpatient drugs they prescribe. But that enthusiasm is tempered by fears that the new benefit now receiving its finishing touches from federal regulators will be far too restrictive.
Physicians soon could encounter a system in which tightly controlled drug formularies leave them with too few drug options for patients who are elderly and have disabilities, says the American Medical Association. Any attempt to get a plan to pay for an excluded medication could be such a hassle that doctors simply decide they don't have the time or resources to go through with it.
Formulary friction: Doctors fear prescription limits
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