What are the Challenges in Implementing Formulary Restrictions?
Implementing formulary restrictions comes with its own set of challenges:
1. Patient and Provider Pushback: Patients and healthcare providers may resist formulary restrictions, particularly if they feel that the restrictions limit their ability to choose the best treatment options.
2. Administrative Burden: The process of obtaining prior authorizations or navigating step therapy protocols can be administratively burdensome for both healthcare providers and patients, leading to delays in treatment.
3. Ethical Considerations: There are ethical concerns related to limiting access to medications, particularly in cases where the restricted drugs may be the most effective treatment option for certain patients.