How do drug shortages impact pharmacy benefit programs?

Drug shortages significantly impact pharmacy benefit programs by necessitating changes in formulary management. When certain medications are in short supply, pharmacy benefit managers must reassess which alternatives can be included in their formularies. This might involve promoting alternative therapies, adjusting prior authorization requirements, or implementing strategies to ensure patients have access to necessary treatments despite the shortages.

Changes in formulary management may also include excluding certain medications that are no longer available or are in limited supply, which can directly affect patient access and treatment options. Additionally, pharmacy benefit managers might have to negotiate new pricing or explore different suppliers to find comparable medications that fulfill treatment needs. Overall, adapting formulary management in response to drug shortages is crucial to maintaining the efficacy of pharmacy benefit programs and ensuring patient safety and access to medications.