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Applying the essential medicines concept to us preferred drug lists

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  • Millar, T.P.
  • Wong, S.
  • Odierna, D.H.
  • Bero, L.A.

Abstract

Objectives: We assessed whether state Medicaid preferred drug lists are concordant with the World Health Organization's 2009 16th Essential Medicines List and with each other. We also characterized listed medicines by generic availability and appearance on treatment guidelines. Methods: We derived generic availability and first-line treatment status from the US Food and Drug Administration's Orange Book and the 2004-2009 National Health Service National Institute for Clinical Excellence guidelines. We report characteristics of Essential Medicines List and preferred drug list (PDL)-only medicines and describe differences between medicines that are frequently and infrequently listed on PDLs. Results: Only 6 of 120 Essential Medicines List medicines appeared on fewer than 50% of PDLs. PDL-only medicines (n=249) were less likely than were Essential Medicines List medicines (n=120) to have generic versions available (56% vs 76%) and to be first-line treatments (21% vs 41%). The content of PDLs was variable: 33% of medicines appeared on 80% to 100% of PDLs. Conclusions: Application of the essential medicines concept to Medicaid PDLs could reduce costs and provide more equitable and evidence-based health care to low-income patients in the United States.

Suggested Citation

  • Millar, T.P. & Wong, S. & Odierna, D.H. & Bero, L.A., 2011. "Applying the essential medicines concept to us preferred drug lists," American Journal of Public Health, American Public Health Association, vol. 101(8), pages 1444-1448.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300054_8
    DOI: 10.2105/AJPH.2010.300054
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    Cited by:

    1. Antonia Jeličić Kadić & Maja Žanić & Nataša Škaričić & Ana Marušić, 2014. "Using the WHO Essential Medicines List to Assess the Appropriateness of Insurance Coverage Decisions: A Case Study of the Croatian National Medicine Reimbursement List," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-8, October.
    2. Mai Duong & Rebekah J Moles & Betty Chaar & Timothy F Chen & World Hospital Pharmacy Research Consortium (WHoPReC), 2015. "Essential Medicines in a High Income Country: Essential to Whom?," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-14, December.

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