PEBA Prescription Drug Survey
Report - March 2002
The survey data was collected through PEBA’s web based survey software. The survey was sent to 179 member companies. 54 companies participated. An executive summary of the results can be found on the PEBA web site. The information below is a question by question analysis.
Q 1. What is the nature of your company's business?
|
Mean: |
7.4 |
||
|
Standard Deviation: |
3.1 |
||
|
Responses |
Count |
Percent |
|
|
Chemical |
3 |
5.6% |
|
|
Consulting |
0 |
0.0% |
|
|
Computer/Data Services |
1 |
1.9% |
|
|
Education |
7 |
13.0% |
|
|
Financial Services |
7 |
13.0% |
|
|
Professional / Consultancy |
2 |
3.7% |
|
|
Healthcare |
8 |
14.8% |
|
|
Manufacturing |
6 |
11.1% |
|
|
Law |
1 |
1.9% |
|
|
Pharmaceutical |
2 |
3.7% |
|
|
Other |
17 |
31.5% |
|
Q 2. What is the total number of employees at all locations?
|
Mean: |
3.9 |
||
|
Standard Deviation: |
1.7 |
||
|
Responses |
Count |
Percent |
|
|
Fewer than 100 |
3 |
5.6% |
|
|
100-499 |
14 |
25.9% |
|
|
500-999 |
6 |
11.1% |
|
|
1000-2499 |
9 |
16.7% |
|
|
2500-4999 |
5 |
9.3% |
|
|
5000 or more |
17 |
31.5% |
|
Q 3. How many employees does your company have in the Delaware Valley?
|
Mean: |
2.9 |
||
|
Standard Deviation: |
1.5 |
||
|
Responses |
Count |
Percent |
|
|
Fewer than 100 |
10 |
18.5% |
|
|
100-499 |
17 |
31.5% |
|
|
500-999 |
9 |
16.7% |
|
|
1000-2499 |
9 |
16.7% |
|
|
2500-4999 |
4 |
7.4% |
|
|
5000 or more |
5 |
9.3% |
|
Q 4. What is the approximate make-up of the employee population for your entire company?
|
Responses |
Mean |
|
Non-exempt |
47.5 |
|
Exempt hourly |
20.8 |
|
Salary supervisory/managerial |
23.4 |
|
Executives |
6.4 |
Q 5. Does your company offer prescription drug benefits?
|
Mean: |
1.0 |
||
|
Standard Deviation: |
0.0 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
54 |
100.0% |
|
|
No |
0 |
0.0% |
|
|
Considering |
0 |
0.0% |
|
Q 6. Are prescription drugs covered through the medical plan or a separate drug plan?
|
Mean: |
1.4 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Medical plan |
29 |
56.9% |
|
|
Separate drug plan |
22 |
43.1% |
|
Q 7. If you answered "separate drug plan" in Q. 6, does the medical carrier or a separate vendor provide the prescription drug plan?
|
Mean: |
1.6 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Medical carrier |
11 |
40.7% |
|
|
Separate vendor |
16 |
59.3% |
|
Q 8. Do retirees have the same benefit as active employees?
|
Mean: |
2.1 |
||
|
Standard Deviation: |
0.9 |
||
|
Responses |
Count |
Percent |
|
|
Same benefit as actives |
20 |
39.2% |
|
|
Limited benefit |
6 |
11.8% |
|
|
Not covered |
25 |
49.0% |
|
Q 9. What percentage of your total medical plan costs (including prescription drugs) do prescription drugs comprise?
|
Mean: |
4.3 |
||
|
Standard Deviation: |
1.9 |
||
|
Responses |
Count |
Percent |
|
|
Less than 10% |
1 |
1.9% |
|
|
10-15% |
7 |
13.5% |
|
|
16-20% |
13 |
25.0% |
|
|
21-25% |
13 |
25.0% |
|
|
26-30% |
3 |
5.8% |
|
|
31% or higher |
1 |
1.9% |
|
|
not available |
14 |
26.9% |
|
Q 10. What was the percentage increase in total costs for your prescription drug plan for 2001?
|
Mean: |
4.8 |
||
|
Standard Deviation: |
2.9 |
||
|
Responses |
Count |
Percent |
|
|
Less than 10% |
0 |
0.0% |
|
|
10-15% |
14 |
26.4% |
|
|
16-20% |
14 |
26.4% |
|
|
21-25% |
4 |
7.5% |
|
|
26-30% |
5 |
9.4% |
|
|
31-35% |
0 |
0.0% |
|
|
36-40% |
0 |
0.0% |
|
|
41% or more |
0 |
0.0% |
|
|
not available |
16 |
30.2% |
|
Q 11. What is the anticipated increase for 2002?
|
Mean: |
4.6 |
||
|
Standard Deviation: |
2.9 |
||
|
Responses |
Count |
Percent |
|
|
Less than 10% |
1 |
2.0% |
|
|
10-15% |
13 |
25.5% |
|
|
16-20% |
14 |
27.5% |
|
|
21-25% |
5 |
9.8% |
|
|
26-30% |
2 |
3.9% |
|
|
31-35% |
2 |
3.9% |
|
|
36-40% |
0 |
0.0% |
|
|
41% or more |
0 |
0.0% |
|
|
not available |
14 |
27.5% |
|
Q 12. Does your prescription drug plan require a separate deductible for prescription drugs?
|
Mean: |
1.9 |
||
|
Standard Deviation: |
0.3 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
5 |
9.4% |
|
|
No |
48 |
90.6% |
|
Q 13. Does your prescription drug plan require a copay for prescription drugs?
|
Mean: |
1.0 |
||
|
Standard Deviation: |
0.0 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
52 |
100.0% |
|
|
No |
0 |
0.0% |
|
Q 14. If yes to Q. 13, is the required copay a coinsurance percentage or a fixed dollar amount?
|
Mean: |
1.9 |
||
|
Standard Deviation: |
0.4 |
||
|
Responses |
Count |
Percent |
|
|
Coinsurance percentage |
6 |
11.8% |
|
|
Fixed dollar amount |
43 |
84.3% |
|
|
Combination of fixed dollar amount and coinsurance percentage |
2 |
3.9% |
|
Q 15. Does the copay differ for generic and brand name drugs?
|
Mean: |
1.1 |
||
|
Standard Deviation: |
0.2 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
50 |
94.3% |
|
|
No |
3 |
5.7% |
|
Q 16. What percent of total prescriptions filled were generic substitution?
|
Mean: |
6.5 |
||
|
Standard Deviation: |
2.4 |
||
|
Responses |
Count |
Percent |
|
|
Less than 25% |
1 |
1.9% |
|
|
25-30% |
6 |
11.3% |
|
|
31-35% |
4 |
7.5% |
|
|
36-40% |
1 |
1.9% |
|
|
41-45% |
2 |
3.8% |
|
|
46-50% |
0 |
0.0% |
|
|
Greater than 50% |
6 |
11.3% |
|
|
not available |
33 |
62.3% |
|
Q 17. Is generic substitution mandatory?
|
Mean: |
1.7 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
16 |
30.8% |
|
|
No |
36 |
69.2% |
|
Q 18. Does your prescription drug plan include a formulary?
|
Mean: |
1.3 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
37 |
69.8% |
|
|
No |
16 |
30.2% |
|
Q 19. If "yes" to Q. 18, is it an open or closed formulary?
|
Mean: |
1.4 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Open |
24 |
64.9% |
|
|
Closed |
13 |
35.1% |
|
Q 20. Does the copay differ for formulary and non-formulary drugs?
|
Mean: |
1.2 |
||
|
Standard Deviation: |
0.4 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
30 |
78.9% |
|
|
No |
8 |
21.1% |
|
Q 21. If your prescription drug plan includes a single copay, (excluding any deductibles) choose the tier that is closest to your plan?
|
Mean: |
7.6 |
||
|
Standard Deviation: |
4.3 |
||
|
Responses |
Count |
Percent |
|
|
$5 |
2 |
9.5% |
|
|
$10 |
3 |
14.3% |
|
|
$15 |
2 |
9.5% |
|
|
$20 |
0 |
0.0% |
|
|
$25 |
0 |
0.0% |
|
|
10% |
1 |
4.8% |
|
|
15% |
0 |
0.0% |
|
|
20% |
1 |
4.8% |
|
|
25% |
0 |
0.0% |
|
|
50% |
0 |
0.0% |
|
|
other |
12 |
57.1% |
|
Q 22. If your prescription drug plan includes a two-tier copay, choose the tier that is closest to your plan?
|
Mean: |
5.3 |
||
|
Standard Deviation: |
5.0 |
||
|
Responses |
Count |
Percent |
|
|
$5/$10 |
5 |
19.2% |
|
|
$5/$15 |
6 |
23.1% |
|
|
$10/$15 |
1 |
3.8% |
|
|
$10/$20 |
7 |
26.9% |
|
|
$10/$25 |
0 |
0.0% |
|
|
$15/$20 |
0 |
0.0% |
|
|
$15/$25 |
0 |
0.0% |
|
|
$15/$30 |
1 |
3.8% |
|
|
10%/20% |
1 |
3.8% |
|
|
10%/25% |
0 |
0.0% |
|
|
15%/25% |
0 |
0.0% |
|
|
15%/30% |
0 |
0.0% |
|
|
25%/50% |
0 |
0.0% |
|
|
other |
2 |
7.7% |
|
|
NA |
3 |
11.5% |
|
Q 23. If your prescription drug plan includes a three-tier copay, choose the tier that is closest to your plan?
|
Mean: |
6.9 |
||
|
Standard Deviation: |
4.3 |
||
|
Responses |
Count |
Percent |
|
|
$5/$10/$25 |
6 |
16.2% |
|
|
$5/$10/50% |
0 |
0.0% |
|
|
$5/$15/$30 |
5 |
13.5% |
|
|
$5/$15/50% |
0 |
0.0% |
|
|
$10/$15/$30 |
7 |
18.9% |
|
|
$10/$15/$35 |
4 |
10.8% |
|
|
$10/$15/50% |
0 |
0.0% |
|
|
$15/$25/$40 |
0 |
0.0% |
|
|
$15/$25/$50 |
0 |
0.0% |
|
|
$15/$25/50% |
0 |
0.0% |
|
|
other |
3 |
8.1% |
|
|
NA |
12 |
32.4% |
|
Q 24. Did you add a deductible/coinsurance program in 2002?
|
Mean: |
2.0 |
||
|
Standard Deviation: |
0.2 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
2 |
3.9% |
|
|
No |
49 |
96.1% |
|
Q 25. Does your plan include a mail order drug (MOD) program?
|
Mean: |
1.1 |
||
|
Standard Deviation: |
0.3 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
48 |
90.6% |
|
|
No |
5 |
9.4% |
|
Q 26. What percent of prescriptions filled were through mail order?
|
Mean: |
5.3 |
||
|
Standard Deviation: |
2.3 |
||
|
Responses |
Count |
Percent |
|
|
0-5% |
4 |
8.2% |
|
|
6-10% |
6 |
12.2% |
|
|
11-15% |
3 |
6.1% |
|
|
16-20% |
3 |
6.1% |
|
|
21-25% |
3 |
6.1% |
|
|
26% or more |
1 |
2.0% |
|
|
not available |
29 |
59.2% |
|
Q 27. Are MOD prescriptions required when available?
|
Mean: |
1.9 |
||
|
Standard Deviation: |
0.3 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
6 |
13.0% |
|
|
No |
40 |
87.0% |
|
Q 28. What is the MOD supply?
|
Responses |
Count |
Percent |
|
2 months |
0 |
0.0% |
|
3 months |
46 |
100.0% |
|
other |
0 |
0.0% |
Q 29. What is the MOD copay?
|
Responses |
Count |
Percent |
|
One time the retail copay. |
18 |
40.0% |
|
Two times retail copay |
20 |
44.4% |
|
Three times retail copay |
0 |
0.0% |
|
Other |
7 |
15.6% |
Other responses:
$5generic/$15brand
$5/$10
$15.00
$10, $20, $35
$45.00
$8 generic $25 brand name
Q 30. Does your prescription drug plan cover oral contraceptives?
|
Mean: |
1.3 |
||
|
Standard Deviation: |
0.6 |
||
|
Responses |
Count |
Percent |
|
|
Yes, for all purposes. |
44 |
83.0% |
|
|
Yes, for medical necessity only. |
4 |
7.5% |
|
|
No |
5 |
9.4% |
|
Q 31. If no to Q. 30, do you plan to cover them in the future?
|
Mean: |
3.2 |
||
|
Standard Deviation: |
1.0 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
2 |
12.5% |
|
|
No |
1 |
6.3% |
|
|
Not sure |
5 |
31.3% |
|
|
N/A |
8 |
50.0% |
|
Q 32. Does your prescription drug plan cover "lifestyle" drugs (e.g. Viagra)?
|
Mean: |
1.5 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
28 |
52.8% |
|
|
No |
25 |
47.2% |
|
Q 33. If yes to Q. 32, do you require additional copay or participant costs for the "lifestyle" drug?
|
Mean: |
2.0 |
||
|
Standard Deviation: |
0.0 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
0 |
0.0% |
|
|
No |
27 |
100.0% |
|
Q 34. Does your prescription drug plan require pre-authorization/certification for certain prescriptions?
|
Mean: |
1.5 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
27 |
51.9% |
|
|
No |
25 |
48.1% |
|
Q 35. Does your prescription drug plan include a step-therapy program?
|
Mean: |
1.7 |
||
|
Standard Deviation: |
0.4 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
13 |
26.0% |
|
|
No |
37 |
74.0% |
|
Q 36. Does your prescription drug plan integrate utilization and encounter data with medical disease and case management programs?
|
Mean: |
1.5 |
||
|
Standard Deviation: |
0.5 |
||
|
Responses |
Count |
Percent |
|
|
Yes |
23 |
45.1% |
|
|
No |
28 |
54.9% |
|