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inside the doughnut hole

Demystifying the Medicare Part D coverage gap: Not as many patients are exposed to it as you'd think, and the real effects are on a group of patients who don't fall in

IT'S MIDSUMMER, AND across the country pharma sales managers are participating in what's become an annual ritual. "What's happening to sales?" the rep's boss asks. "Sales are off," the manager replies. "Consumers are hitting the doughnut hole (or gap). My reps tell me that patients are dropping off therapy because now they have to pay full price." Or: "We need a new patient assistance program to fill in the gap."

The "Doughnut Hole"-the coverage gap built into the Medicare Part D benefit design-was originally intended as a ...

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