Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Tseng and colleagues1 found that Medicare patients with lower annual
benefits were more likely to exceed these "caps," and that such patients were
likely to face increased out-of-pocket costs to continue receiving their medication.
The authors also found that 15 of the 20 medications with the highest total
prescription expenditures were for chronic conditions. Although it seems reasonable
to assume that most of these medications are indeed prescribed for chronic
conditions, the antidepressant paroxetine (fifth on the list of Tseng et al)
is also indicated for some anxiety disorders, which could be considered chronic
Moldawsky R. Prescription Drug Benefits and Health Status Among Medicare Patients—Reply. JAMA. 2003;290(15):1994-1995. doi:10.1001/jama.290.15.1994-a