Prescription drugs
We help navigate pharmacy benefit challenges
Milliman prescription drugs solutions

PBM contracting and management

Pharmacy plan design

Medicare Part D
Milliman prescription drugs insight
The impact of medication adherence on total healthcare costs for commercially insured patients
A current perspective for patients with diabetes, hypertension, and hyperlipidemia
Emerging Medicare Advantage and Part D trends from 2024 financial statements
Medicare Advantage (MA) and Part D insurers are citing significant financial headwinds in earnings calls and the press. Statutory financial statements provide insights into emerging trends through year-end 2024.

Demonstrations and consolidations: A first view of the 2025 PDP market
This article highlights the key changes to premiums and plan offerings in the prescription drug plan (PDP) market.

Patterns in psychotropic and other select nervous system prescription utilization
Emerging trends in pharmacy shopping and related overdoses

Manage pharmacy spending with precision medicine via uplift modeling
This white paper focuses on one approach for improving drug utilization management: precision medicine through a method known as uplift modeling.

The evolution of biosimilars in the United States
Biosimilars recently have made significant strides toward greater acceptance and utilization since their first U.S. approval in 2015, although challenges persist.
Commercial drug trends: 2024 release
This report provides insights into pharmacy cost and utilization trends based on our analysis of the Milliman Consolidated Health Cost Guidelines Sources Database.
The shifting Medicare landscape: Results from 2024 open enrollment
2024 brings significant changes to the Part D program, resulting in larger than average shifts in member enrollment
CMS Cell and Gene Therapy Access Model
Exploring the benefits, limitations, and considerations for expansion.
A prescription for change: How the 2025 Medicare Part D risk adjustment (RxHCC) model overhaul will affect risk scores
Following significant changes to the 2024 Part C risk adjustment model, Medicare Advantage organizations (MAOs) will experience another material model change in 2025—this time for Part D.