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Illinois' four-drug policy for Medicaid prescriptions

Illinois' four-drug policy for Medicaid prescriptions

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Published by Dean Olsen
Here are several case studies from the Illinois Department of Healthcare and Family Services that the department says show the positive impact on patients through the state's four-drug policy for Medicaid-paid prescription drugs. HFS says the policy is reducing over-prescribing and drug interactions.
Here are several case studies from the Illinois Department of Healthcare and Family Services that the department says show the positive impact on patients through the state's four-drug policy for Medicaid-paid prescription drugs. HFS says the policy is reducing over-prescribing and drug interactions.

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Published by: Dean Olsen on Dec 20, 2013
Copyright:Attribution Non-commercial

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05/02/2014

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CASES OF INAPPROPRIATE USE
MRAD Group September Interventions
 
60 year old female with diagnosis of major depressive disorder
 
Problem: Duplicate therapy
Patient was filling citalopram 20 mg (SSRI) for depression
Provider requested paroxetine 30 mg (SSRI) to be added to regimen
Intervention:
Discussed duplication in therapy and recommended increasing dose of citalopram, switch to different SSRI, or alternative antidepressant
Provider accepted recommendations
Unnecessary Cost: Non-significant
Potential Negative Health Risk:
Increased risk for serotonin syndrome
 
30 year old male with diagnosis of depression
Problem- Inappropriate prescribing
Patient on Latuda 40mg for depression and provider increasing dose to Latuda 60 mg
Latuda 60 mg is not a commercially available dose (wanted Latuda 40mg and 20mg)
Intervention
Contacted provider and recommended d/c Latuda and initiate SSRI/SNRI
Provider agreed to d/c Latuda and initiate Celexa
Unnecessary cost
Approximate expenditure per year for 40mg daily: $
6,634
Potential negative health consequence
Uncontrolled depression

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