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Table 4 Impact of Medicare Part D on antidementia prescriptions filled annually among beneficiaries with any antidementia drug use pre-part D (n = 1,197) by drug category

From: The impact of Medicare prescription drug coverage on the use of antidementia drugs

Pharmacy benefit group

Mean No. (SD) of pre–part d prescriptions

Mean No. (SD) of post–part d prescriptions

Adjusted ratio* of pre–part D vs. Post–part d prescriptions

Comparison of the adjusted ratio* of the no-coverage, $150-cap, and $350-cap groups with that of the no-cap group

 

Ratio (95% CI)

P Value

Ratio (95% CI)

P Value

Cholinesterase inhibitors

No coverage group

3.87 (4.53)

5.44 (5.33)

1.40 (1.13-1.73)

0.0022

1.28 (1.02-1.61)

0.0323

$150 cap group

4.64 (4.71)

5.90 (5.27)

1.27 (1.05-1.53)

0.0125

1.16 (0.95-1.42)

0.1410

$350 cap group**

4.92 (4.68)

6.24 (5.32)

1.26 (1.18-1.34)

<0.0001

1.15 (1.05-1.27)

0.0040

No cap group**

6.45 (5.27)

7.09 (5.59)

1.09 (1.01-1.18)

0.0280

[Reference]

Namenda®

No coverage group

1.92 (3.57)

4.86 (5.46)

2.50 (1.98-3.16)

<0.0001

1.26 (0.97-1.66)

0.0884

$150 cap group

1.27 (2.87)

3.09 (4.73)

2.38 (1.74-3.25)

<0.0001

1.20 (0.85-1.69)

0.2959

$350 cap group

1.37 (3.05)

3.24 (4.88)

2.33 (2.06-2.64)

<0.0001

1.18 (098.-1.41)

0.0816

No cap group

1.97 (3.74)

3.95 (5.15)

1.98 (1.73-2.27)

<0.0001

[Reference]

  1. Abbreviations: AOR, adjusted odds ratio; CI, confidence interval; SD, standard deviation.
  2. * Analyses were adjusted for sex; age; census-block group-level data concerning race, status below poverty line, residence; health status data (binary variables for congestive heart failure, depression, diabetes, hypertension, and ischemic heart disease); and prospective risk score.
  3. α Aricept® andExelon®.
  4. ** Aricept®, Razadyne, and Exelon®.