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Fixed Dosed Combination Agents and Novel Antihypertensives Are Expected to Face Tougher Formulary Restrictions
Date:4/28/2009

Longitudinal Data Trends Suggest These Agents Will Face Greater Use of Step Therapy Restrictions and Less Access on Tier 2 on Commercial Health Plans, According to a New Report from HealthLeaders-InterStudy and Fingertip Formulary

NASHVILLE, Tenn. and GLEN ROCK, N.J., April 28 /PRNewswire/ -- HealthLeaders-InterStudy and Fingertip Formulary find that fixed dosed combination agents and novel antihypertensives are expected to face tougher formulary restrictions. According to the new Formulary Forum report entitled Formulary Advantages in Hypertension: Past and Future Shifts in Tier Placement of Angiotensin II Receptor Antagonists, Single Pill Fixed-Dose Combinations and Novel Agents, step therapy restrictions are becoming more common in commercial health plans across all classes of antihypertensives, suggesting fixed dosed combination agents and novel antihypertensives will face less access on Tier 2 on commercial health plans.

The report notes that although the number of commercial health plans placing step restrictions on angiotensin II receptor antagonists is relatively stable, a growing number of covered lives are subject to a step therapy restriction. Meanwhile, the number of commercial health plans placing prior authorization restrictions on antihypertensives has decreased over the past year.

"By and large, more agents are subject to prior authorization restrictions with more commercial health plans than are subject to step therapy restrictions, but we are seeing step therapy restrictions becoming increasingly common," said Michael Malecki, Ph.D., product manager, Formulary Forum. "The changing landscape of formulary controls in the hypertension market means that managed care marketing and sales analytics groups must track this newly-important performance metric."

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