This Fact Sheet examines prescription drug utilization management (UM) among the top 10 marketplace plans in all 50 states and the District of Columbia and finds considerable variation among states in UM for prescription drugs commonly used by adults 50 to 64. The percentage of covered drugs subject to UM increased in some states and decreased in others between 2016 and 2020, revealing a prescription drug UM patchwork with the potential to affect older adults.
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