Pmu68 Bcbsla Evaluation of a Nurse Focused Disease Management Program in Louisiana

Abstract

dispensation was analyzed during the 6-month follow-up period. The impact of formulary restriction on likelihood of prescribed AED's successful dispensation was assessed using multivariable Cox proportional hazards model. Results: There were 9,529 and 3,081 patients in the approved and rejected claim cohorts, respectively. The proportion of patients with an index claim for a generic AED was higher in the approved (95.9%) vs. the rejected (88.9%) cohort. Mean (SD) time to first dispensation was 2.1 (11.9) and 7.4 (21.5) days for the approved and rejected cohort, respectively. The proportion of patients with a successful index AED dispensation at 6 months was higher in the approved (92.8%) vs. rejected (75.7%) cohort. After adjustment, formulary-related rejection of an index AED was associated with lower likelihood of its successful dispensation [hazard ratio: 0.73; p,0.001]. Conclusions: Formulary restrictions may lead to an average delay of 5.3 days and reduced likelihood of successful dispensation of AED treatment for pediatric patients diagnosed with FS.