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<classification authority="sudocs">GA 1.13:GAO-03-912</classification>
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 <subject>Aid for the elderly</subject>
 <subject>Beneficiaries</subject>
 <subject>Health care cost control</subject>
 <subject>Health care costs</subject>
 <subject>Health care programs</subject>
 <subject>Drugs</subject>
 <subject>Elderly persons</subject>
 <subject>Managed health care</subject>
 <subject>Prices and pricing</subject>
 <subject>CMS Medicare-Endorsed Prescription Drug</subject>
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 <title>Prescription Drug Discount Cards: Savings Depend on Pharmacy and Type of Card Used</title>
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<abstract>While prescription drugs have become an increasingly important
part of health care for the elderly, more than one-quarter of all
Medicare beneficiaries have no prescription drug coverage. Over  
the past decade, private companies and not-for-profit		 
organizations have sponsored prescription drug discount cards	 
that offer discounts from the prices the elderly would otherwise 
have to pay for their prescriptions. These cards are typically	 
administered by pharmacy benefit managers (PBM). Pharmaceutical  
manufacturers also sponsor and administer their own discount	 
cards. The Administration has been interested in endorsing	 
specific drug cards for Medicare beneficiaries to make the	 
discounts more widely available. Legislative proposals in the	 
Senate and House of Representatives have included drug cards as a
means to lower prescription drug prices for Medicare		 
beneficiaries. GAO was asked to examine how existing drug	 
discount cards work and the prices available to card holders.	 
Specifically, GAO evaluated the extent to which PBM-administered 
drug discount cards offer savings off non-card prices at 40	 
pharmacies in California, North Dakota, and Washington, D.C., and
the differences between PBM-administered cards and cards	 
sponsored by pharmaceutical manufacturers.</abstract>
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 <topic>Beneficiaries</topic>
 <topic>Health care cost control</topic>
 <topic>Health care costs</topic>
 <topic>Health care programs</topic>
 <topic>Drugs</topic>
 <topic>Elderly persons</topic>
 <topic>Managed health care</topic>
 <topic>Prices and pricing</topic>
 <topic>CMS Medicare-Endorsed Prescription Drug</topic>
 <topic>Card Assistance Initiative</topic>
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