Chapter

Making Pharmacy Benefits Accountable for Reasonableness

Norman Daniels and James E. Sabin

in Setting Limits Fairly

Published in print March 2002 | ISBN: 9780195149364
Published online September 2009 | e-ISBN: 9780199865123 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195149364.003.0007
Making Pharmacy Benefits Accountable for Reasonableness

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This chapter considers what implementing accountability for reasonableness would mean in pharmacy benefit management. It presents an “ethical template” for the design of formularies and pharmacy benefits more generally. The template maps resource allocation decisions at different levels of specificity within a typical pharmacy benefit onto rationales that fair-minded people could agree are relevant to meeting pharmacy needs under resource constraints. By involving groups of stakeholders in a process of testing the acceptability of these rationales and in refining the template, greater clarity will result about what counts as reasonable rationales in this domain.

Keywords: health care; accountability; pharmacy benefit management; drug budgets; resource allocation

Chapter.  7334 words. 

Subjects: Public Health and Epidemiology

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