Abstract

Medicare beneficiaries filling oral anticancer drug prescriptions often have expected annual out-of-pocket costs exceeding $10,000 [1]. Cost-related prescription non-initiation affects almost 1 in 3 Medicare beneficiaries (without low-income subsidies) prescribed high-cost specialty anticancer drugs [2]. While longer-term policy solutions are implemented, there is an urgent need to explore “on-the-ground” affordability solutions. It is unknown how altering medication prescribing could reduce out-of-pocket costs.

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