Office of Technology Transfer – University of Michigan

Medication Cost Analysis for Medicare Patients

Technology #5713

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Hae Mi Choe
Managed By
Drew Bennett
Associate Director - Software Licensing 734-615-4004

In 2010, 25% of patients enrolled in Medicare’s Part D prescription drug plan stopped following their drug regimen due to loss of coverage for their medications. The Part D plan offers coverage for patient’s prescription medication from $300 to $2700 and $6000 or greater. The coverage gap falls between the $2700 and $6000 where patients must pay out of pocket. When a patient’s medication costs exceed the first limit they are likely to discontinue their regimen due to cost. There is a need for a tool that can provide clinicians a prospective analysis of costs to a patient based on their Part D coverage and provide an alternative cost-effective therapeutic regimen that fits within the coverage plan.

Medicare Part D Prescription Drug Cost Analyzer There is a software tool under development intended for clinicians and pharmacists to optimize treatment regimens for patients with Medicare Part D prescription drug coverage. This tool enables providers to analyze the cost to individual patients for the intended therapeutic regimen. The tool can provide alternative regimens that can fit within the coverage limits if the limit is exceed with the original prescription. This software will assist in preventing patients falling into the coverage gap in Medicare’s Part D plan.

Applications • Cost effective therapeutic regimen software for patients with Medicare Part D Advantages • Provides alternative prescription drug plan to fit coverage of Plan D • Enables clinicians to provide most cost-efficient therapy to patients • Increases prescription fulfillment