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February 2022; 12 (1) Research

Association Between Pharmacy Benefit Restrictions and Disease-Modifying Therapy Use in the Medicare Part D Program

View ORCID ProfileDaniel M. Hartung, Kirbee A. Johnston, View ORCID ProfileJessina C. McGregor, Dennis N. Bourdette
First published July 27, 2021, DOI: https://doi.org/10.1212/CPJ.0000000000001118
Daniel M. Hartung
College of Pharmacy (DMH, KAJ, JCM), Oregon State University; and Department of Neurology (DNB), Oregon Health & Science University, Portland.
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  • ORCID record for Daniel M. Hartung
Kirbee A. Johnston
College of Pharmacy (DMH, KAJ, JCM), Oregon State University; and Department of Neurology (DNB), Oregon Health & Science University, Portland.
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  • For correspondence: kirbee.a.johnston@gmail.com
Jessina C. McGregor
College of Pharmacy (DMH, KAJ, JCM), Oregon State University; and Department of Neurology (DNB), Oregon Health & Science University, Portland.
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  • ORCID record for Jessina C. McGregor
  • For correspondence: mcgregoj@ohsu.edu
Dennis N. Bourdette
College of Pharmacy (DMH, KAJ, JCM), Oregon State University; and Department of Neurology (DNB), Oregon Health & Science University, Portland.
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  • For correspondence: bourdett@ohsu.edu
Full PDF
Citation
Association Between Pharmacy Benefit Restrictions and Disease-Modifying Therapy Use in the Medicare Part D Program
Daniel M. Hartung, Kirbee A. Johnston, Jessina C. McGregor, Dennis N. Bourdette
Neurol Clin Pract Feb 2022, 12 (1) 36-42; DOI: 10.1212/CPJ.0000000000001118

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Article Information

vol. 12 no. 1 36-42
DOI: 
https://doi.org/10.1212/CPJ.0000000000001118

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received September 29, 2020
  • Accepted June 23, 2021
  • First Published July 27, 2021.

Article Versions

  • Previous version (July 27, 2021 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2021 American Academy of Neurology

Author Disclosures

    1. Daniel M. Hartung, PharmD, MPH,
    2. Kirbee A. Johnston, MPH (kirbee.a.johnston{at}gmail.com),
    3. Jessina C. McGregor, PhD (mcgregoj{at}ohsu.edu) and
    4. Dennis N. Bourdette, MD (bourdett{at}ohsu.edu)
  1. Daniel M. Hartung, PharmD, MPH,
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. (1) PCORI Peer Review Process, Associate Editor, 2016 - present

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. National Multiple Sclerosis Society

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. (1) NIH/NIDA, UG1DA015815, co-I, 2018 - 2019 (2) NIH/NIDA, R01DA045745, co-I, 2018 - 2022 (3) NIH/NIDA, 1R01DA044284, co-I, 2018 - 2023 (4) NIH/NIDA, R01DA046468, co-I, 2018 - 2023 (5) CDC, R01CE003008, co-I, 2018 - 2021 (6) AHRQ, 1R21HS028119-01, PI 2021 - 2023

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Kirbee A. Johnston, MPH (kirbee.a.johnston{at}gmail.com),
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. National Multiple Sclerosis Society

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Jessina C. McGregor, PhD (mcgregoj{at}ohsu.edu) and
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. Infection Control & Hospital Epidemiology Statistical Consultant, 2015-present JAMA Network Open Methodology/Statistical Consultant, 2018-present

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. AHRQ 1R03HS026819-A1 Evaluating Antibiotic Utilization Metrics PI 9/01/2019-8/31/2021 AHRQ 1R01HS02517701A1 Dental Prescribing of Antibiotics and Opioids: High Use in the Absence of Evidence Co-I/Site PI 09/30/17-01/07/22 VA HSR&D IIR 17-039 Improving Veteran Health by Increasing Dental Stewardship of Antibiotics and Opioids Co-I 07/01/18-06/30/22 AHRQ 1R01HS026747-01 Optimizing Antibiotic Prescribing on Discharge to Long-Term Care Facilities Co-I 4/1/2019 – 1/31/2022 CDC 6 NU50CK000541-01-05 Oregon 2019 Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Site PI 8/1/2019-9/1/2020

    Research Support, Academic Entities:
    1. Oregon Health & Science University-Portland State University School of Public Health

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Dennis N. Bourdette, MD (bourdett{at}ohsu.edu)
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. (1) Neurology, Member Editorial Board, 2013-present

    Patents:
    1. (1) Use patent for the treatment of multiple sclerosis with cyclic peptide derivatives of cyclosporin (2) Patent pending for thyromimetic drugs for stimulating remyelination in multiple sclerosis.

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. (1) I provide consultations to Magellan Health on individual cases regarding requests to insurance companies for coverage of expensive therapies (2) I provide patient consultations for Best Doctors, Inc.

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. Autobahn Therapeutics

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. College of Pharmacy (DMH, KAJ, JCM), Oregon State University; and Department of Neurology (DNB), Oregon Health & Science University, Portland.
  1. Correspondence
    Dr. Hartung hartungd{at}ohsu.edu
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