November 16, 2009 
Based on study by the Pharmacy Benefit Management Institute (PBMI) of 417 employers, here is a ranked list of Utilization Management (UM) tools used in 2009 for overall plan design. The survey breaks it down further by class.
- Refill Too Soon Supply Limit – 90%
- Quantity Limits – 89%
- Prior Authorization – 81%
- Disease Management – 69%
- Step Therapy – 59%
- Therapeutic Substitution – 55%
- Retrospective Drug Utilization Review (RDUR) – 47%
- Outbound Telephone Calls – 44%
- Dose Optimization – 44%
- Face-to-Face Pharmacist Consults – 36%
- Pill Splitting – 29%
- Prescriber Profiling – 23%
- Copayment Relief or Waivers – 20%
- Generic Sampling – 16%
- Academic Detailing of Prescribers – 11%
What I think would be interesting to know is which of these is provided by their PBM or managed care company versus which ones are they directly sourcing?
Enabling Healthy Decisions 
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