How is a drug determined to be “preferred” or “non-preferred”?
The P&T Committee reviews extensive clinical reports and evidence to determine if any drug has been found in clinical studies to be more effective than others in the same class. If a drug is found more effective, it is considered preferred regardless of the price. If there is no evidence of any drugs being more effective than others in the class, then the Committee looks at the net cost to the State for all drugs in the class. Those that are more cost-effective are considered preferred. Note: All manufacturers are offered the opportunity to provide NYS with supplemental rebates which make their drug more competitively priced. Some manufacturers provide such rebates, and others do not.
Related Questions
- A non-preferred drug is a medication that has been determined to have an alternative drug available that is clinically equivalent. If I am taking a brand name drug when a generic equivalent is available, at what co-payment level will this drug be available?
- What is a Preferred Brand or Generic Drug and a Non-Preferred Brand or Generic Drug?
- What is a non-formulary or non-preferred drug?
