US.NMH.12.10.011
1
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
2
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
1
Operating plans only. HMOs not licensed by state agencies are excluded from all totals.
US.NMH.12.10.011
3
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
4
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
5
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
6
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
7
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
8
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
9
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
1
Copayments can be a flat dollar amount or a percent copay (coinsurance), which requires the HMO member to pay a fixed percentage of the cost of the drug.
In an open formulary, a drug is usually covered by the HMO, even if it is not listed on formulary.
3 In a closed formulary, a drug not on formulary is generally not covered, unless it goes through a prior authorization process.
4 The percentages represent the share of all HMO members subject to an open formulary, by copay tier system.
5 The percentages represent the share of all HMO members subject to a closed formulary, by copay tier system.
2
US.NMH.12.10.011
10
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
HMO
Data source: IMS Health © 2012
US.NMH.12.10.011
11
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
PPO
Data source: IMS Health © 2012
2
Includes specialty-only PPOs.
US.NMH.12.10.011
12
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
PPO
Data source: IMS Health © 2012
1
“Primary care physicians” include family practitioners, internists, OB/GYNs and pediatricians.
US.NMH.12.10.011
13
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
PPO
Data source: IMS Health © 2012
US.NMH.12.10.011
14
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
PPO
Data source: IMS Health © 2012
US.NMH.12.10.011
15
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
PPO
Data source: IMS Health © 2012
US.NMH.12.10.011
16
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
Data source: IMS Health © 2012
3
Data are as of midyear 2012, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.10.011
17
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
Data source: IMS Health © 2012
1
Data are as of midyear 2012, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.10.011
18
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
Data source: IMS Health © 2012
1
Data are as of midyear 2012, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.10.011
19
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
Data source: IMS Health © 2012
1
Data are as of midyear 2012, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.10.011
20
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY
Data source: IMS Health © 2012
1
Data are as of midyear 2012, and represent the numbers/percentages of prescriptions dispensed, by drug class, to all patients.
US.NMH.12.10.011
21
Managed Care Digest Series®, © 2012 sanofi-aventis U.S., A SANOFI COMPANY