In a first look at pharmacy trends in public health insurance exchange plans, use of specialty medications was greater among exchange enrollees versus patients enrolled in a commercial health plan, according to research presented by pharmacy benefit manager Express Scripts at the Express Scripts Outcomes Symposium in Orlando, Fla.

The analysis is based on a national sample of more than 650,000 de-identified pharmacy claims from Jan. 1 through Feb. 28, 2014, for patients enrolled in a public health insurance exchange plan with pharmacy benefit coverage administered by Express Scripts. The analysis compared these pharmacy claims to those from commercial health plans, with pharmacy coverage administered by Express Scripts, during the same time period.

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