© 2007 American Public Health Association DOI: 10.2105/AJPH.2007.124008
Chester B. Good is with the Pharmacy Benefits Management Strategic Healthcare Group, Department of Veterans Affairs, Washington, DC, and the Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pa. Michael Valentino is with the Pharmacy Benefits Management Strategic Healthcare Group, Washington, DC. Correspondence: Requests for reprints should be sent to Chester B. Good, MD, VA Pittsburgh Healthcare System, Center for Health Equity Research and Promotion, 7180 Highland Dr (151C-H), Pittsburgh, PA 15206 (e-mail: chester.good@va.gov).
In 1995, the Department of Veterans Affairs (VA) established its Pharmacy Benefits Management Strategic Healthcare Group (PBM-SHG) to provide an integrated, comprehensive, portable, high-quality national drug plan for veterans. In the 12 years since then, PBM-SHG has matured into a pharmacy plan that has garnered national and international attention for maintaining a generous drug benefit at a very low cost. Indeed, the success of the VAs pharmacy benefit plan has led many to suggest that it be a model for other integrated pharmacy plans, including Medicare Part D. The success of the VA prescription drug program has also been a
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