Access to Diabetes Medicines in Exchanges

Access to Diabetes Medicines in Exchanges

The annual number of patients who were newly diagnosed with diabetes has tripled in the past twenty years, and type 2 diabetes accounts for 95% of diagnosed diabetes in adults. As many previously uninsured people enroll in exchange coverage and access primary care, the diagnosed cases of diabetes may increase further. Medicines are a key component of managing diabetes. Most patients take oral medicines to stabilize blood sugar levels, but over time, many patients also add insulin to their treatment regimens. The results presented below provide insights into how plans in the new health insurance exchanges cover single-source (defined as medicines for which a generic equivalent is not available) diabetes medicines. Key findings are primarily based on an analysis of 84 plans in the 15 states with the highest expected exchange enrollment for 2014.

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