Q 1. Your organization is a/an: -- select state -- Respondent...

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Name: Company: Title Address City/Town: State: -- select state -- ZIP: Email Address: Phone Number: Respondent Information * Other (please specify) Q 1. Your organization is a/an: Administrative services organization (ASO) Health care benefits purchasing coalition Health insurance plan Integrated health network Managed care plan Third party administrator (TPA) PBM

Transcript of Q 1. Your organization is a/an: -- select state -- Respondent...

  • Name:

    Company:

    Title

    Address

    City/Town:

    State: -- select state --

    ZIP:

    Email Address:

    Phone Number:

    Respondent Information*

    Other (please specify)

    Q 1. Your organization is a/an:

    Administrative services organization (ASO)

    Health care benefits purchasing coalition

    Health insurance plan

    Integrated health network

    Managed care plan

    Third party administrator (TPA)

    PBM

  • Other (please specify)

    Q 2. Please indicate which job title best describes your position:

    Corporate executive (CEO, President, COO, CFO)

    Medical director

    Pharmacy director

    Formulary development strategist

    Clinical pharmacist

    Number of members

    Q 3. Approximately what is the number of members enrolled in your organization's plans?

    Q 4. Where do your organization's members reside? Please check all that apply

    National

    Northeast (Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania,Rhode Island, Vermont, Washington D.C.)

    South (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee,Texas, Virginia, West Virginia)

    Midwest (Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, Oklahoma, SouthDakota, Wisconsin,)

    West (Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington,Wyoming)

  • % Medicare Medicare Advantage – Prescription Drug (MA-PD)plans

    % Medicare Prescription Drug Plans (PDP)

    % Commercial Health Maintenance Organization (HMO) plans

    % Commercial Preferred Provider Organization (PPO) plans

    % Other commercial plans

    % Affordable Care Act (ACA) Health Exchanges

    % Federal employee plans

    % Medicare / Medicaid Special Needs Plans (SNPs)

    % Other Medicaid plans

    % Other plans

    Q 5. What percentage of these members are enrolled in:

    Q 6. Do you include optometrists in your provider network? Please check all that apply

    Yes, optometrists are included in our provider network as medical providers

    Yes, optometrists are part of a visual plan eye care benefit

    Yes, optometrists are prescribers in our provider network

    We do not have a provider network

    If you do not include optometrists in your provider network, why not?

  • A great deal of

    attention Neutral Less attention Not applicable

    Conjunctivitis

    Blepharitis (lid margin disease)

    Diabetic retinopathy/Macular edema

    Glaucoma

    Keratoconjunctivitis sicca (dry eye)

    Pre-operative/post surgical care

    Uvetis

    Wet macular degeneration

    Q 7. How much attention does your organization pay to these eye conditions?

    More attention Neutral Less attention Not applicable

    We do notserve a

    Medicarepopulation

    Anticipate giving more attention to eye carecategory in the future?

    Anticipate giving more attention to eye care for yourMedicare population?

    Q 8. Does your organization:

    Closely monitoring Neutral Less attention Not applicable

    Conjunctivitis

    Blepharitis (lid margin disease)

    Diabetic retinopathy/Macular edema

    Glaucoma

    Keratoconjunctivitis sicca (dry eye)

    Pre-operative/post-surgical care

    Uvetis

    Wet macular degeneration

    Q 9. In your opinion, how closely will your organization be monitoring the following eye conditions forgrowth over the next 2 years?

  • % Generic

    % Preferred brand

    % Specialty pharmacy

    % Filled under the medical benefit

    Q 10. Please note the approximate percentage of total prescriptions filled for all categories in 2015:

    % Generic

    % Preferred brand

    % Specialty pharmacy

    % Filled under the medical benefit

    Q 11. Please note the approximate percentage of eye care prescriptions filled for all categories in 2015:

    2017?

    2020?

    Q 12. What do you anticipate the proportion of total prescriptions will be for generics in:

    2017?

    2020?

    Q 13. What do you anticipate the proportion of eye care prescriptions will be for generics in:

    % in 2015

    Anticipated % in 2017

    Anticipated % in 2020

    Q 14. For your Medicare population, approximately what percentage of the organization’s pharmacy budgetis spent on eye care?

    -

    Does not apply

    Data not available

  • % in 2015

    Anticipated % in 2017

    Anticipated % in 2020

    Q 15. For your commercial population, approximately what percentage of the organization’s pharmacybudget is spent on eye care?

    -

    Does not apply

    Data not available

    Other (please specify)

    Q 16. How does your organization generally handle prescriptions for brands when a generic enters theclass? Please check all that apply

    Move coverage of brand to a higher co-pay tier

    Drop coverage of brand

    Enforce generic substitution for all members at next prescription refill

    Enforce generic substitution for new prescriptions, and allow patients already using the drug to continue current therapy

    Other

    %

    Q 17. After one year of a generic introduction to a product category, approximately what percentage of yourplan members are using the generic?

  • Pharmaceutical prescriptions (including eye drops)

    Intraocular injections or implants (e.g. Lucentis®, Eylea®,Avastin®, Ozurdex®, Illuvien®)

    Laser Treatments

    Traditional surgeries

    Microinvasive glaucoma surgery (MIGS)

    Q 18. What percentage of covered eye care therapies are:

    -

    Does not apply

    Data not available

    Pharmaceutical prescriptions (including eye drops)

    Intraocular injections or implants

    Laser Treatments

    Traditional surgeries

    Microinvasive glaucoma surgery (MIGS)

    Q 19. What do you project the proportions will be 2 years from now?

    -

    Does not apply

    Data not available

  • Strongly agree Agree Neutral DisagreeStronglydisagree

    Generics are fully equivalent to the brand-namemedications in all classes where generics areavailable

    The non-active ingredients in eye drops make nodifference in the effectiveness and tolerability of theproduct

    Generic substitution is beneficial to patients

    Prescribers know when it is in the best interest ofpatients to prescribe brand-name drugs, and whenit is best to prescribe generics

    In classes where there is a generic available, it ispreferable to keep a branded product with adifferent active ingredient on formulary for thosewho are not responsive or can’t tolerate the generic

    Offering several concentrations of activeingredients in eye drops assures that patientsreceive the minimum effective dose

    Eye drops that combine 2 drugs commonlyprescribed together simplify dosing and help assurethat patients are compliant with necessarytherapies

    Preservative-free formulations of eye drops arepreferable to ones containing preservatives

    Q 20. Please state how strongly you agree or disagree with the following statements:

    Very Important Important Neutral Less Important Not Important

    Prevalence of disease / number of members withthe condition

    Complexity of disease

    Cost of treatment

    New treatment options

    Indications of improved patient outcomes from newtherapy options

    Potential of inappropriate use

    Unmet need

    Utilization or expected utilization

    Q 21. How important are the following factors when reviewing a therapeutic category for your organization?

  • Very Important Important Neutral Less Important Not important

    Acquisition cost

    Assuring minimum effective dose

    Clinical efficacy

    Current market share

    Duplication of existing treatment option

    Ease of compliance and persistence

    Ease of dosing

    Following guidelines or standards of care

    Generic available

    Minimizing drug interactions

    Packaging/quantity

    Safety

    Tolerability/adverse events

    Total annual cost of treatment

    Q 22. How do you rate the following factors when evaluating a new drug within a class?

    Other (please specify)

    Q 23. What factors cause your organization to initiate a category review? Please check all that apply

    Addition of black box warning(s) on label

    Addition of new indication(s) on label

    FDA approval of new therapy

    Generics entering category

    New data about existing treatment options

    Required annual review

    Rise in cost of medications within category

    Contract renewal

  • Very

    Valuable NeutralLess

    Valuable Do not use N/A

    Comparisons of surgeries and procedures by diagnosis

    Comparisons of surgeries and/or procedures topharmacotherapy by diagnosis

    Comparisons of branded to generic pharmacotherapy by FDA-labeled indication

    Comparisons of branded pharmacotherapies by FDA-labeledindication

    Q 24. What types of comparative effectiveness studies are of most value to your organization?

    Q 25. Is there an exclusion policy for new drugs?

    Yes

    No

    Not applicable

    Commercial formulary and/or medical policy (months or n/a)

    Medicare formulary and/or medical policy (months or n/a)

    Q 26. Once a new therapy receives FDA approval, how quickly can it be accepted onto your organization’slargest:

  • Strongly

    agree Agree Neutral DisagreeStronglydisagree

    I am aware of the Implantable and injectable sustained releasepharmaceuticals currently available in eye care

    I am aware of the Implantable and injectable sustained releasepharmaceuticals in development in eye care

    Implantable or injectable sustained release eye care products willimprove adherence

    Implantable or injectable sustained release products will be avaluable addition to treatment options

    Implantable or injectable sustained release products have thepotential to reduce the number of surgeries

    These drug delivery devices are suitable for newly diagnosedpatients

    Ophthalmologists are comfortable administering via intravitrealinjection

    Ophthalmologists are comfortable administering via intraocularimplant

    Q 27. Please let us know your opinion about implantable and injectable sustained release products bystating how strongly you agree or disagree with the following statements:

    Q 28. Where in your organization is the decision made about an implantable drug therapy (such asOzurdex® or Iluvien®) for eye care?

    Medical

    Pharmacy

    Q 29. Does your organization have pathways that physicians must follow before inserting these ocularimplants?

    We have pathways and enforce them through a prior authorization protocol

    We have pathways that are not enforced by prior authorizations

    No

    Not applicable

    Other (please specify)

  • Very tightlymanaged Tightly managed Neutral Lightly managed Open N/A

    Currently

    Expectation for 2018

    Q 30. How tightly managed is your eye care category overall?

    Very tightlymanaged

    Tightlymanaged Neutral

    Lightlymanaged Open N/A

    Injectable anti-VEGFs approved by the FDA [e.g.Lucentis®/Eylea®]

    Injectable anti-VEGFs used off label [e.g. Avastin®]

    Short acting (3 to 6 month) intravitreal steroids [e.g.Ozurdex®]

    Long acting (2-3 year) steroids [e.g. Iluvien®]

    Laser Surgery

    Q 31. Currently, how tightly managed are the following?

    Very tightlymanaged Tightly managed Neutral Lightly managed Open N/A

    Injectable anti-VEGFsapproved by the FDA[e.g. Lucentis®/Eylea®]

    Injectable anti-VEGFsused off label [e.g.Avastin®]

    Short acting (3 to 6month) intravitrealsteroids [e.g. Ozurdex®

    Long acting (2-3 year)steroids [e.g. Iluvien®]

    Laser Surgery

    Q 32. In 2018, how will these be managed?

  • Most More Neutral Less Least N/A

    Injectable anti-VEGFs approved by the FDA [e.g.Lucentis®/Eylea®]

    Injectable anti-VEGFs used off label [e.g. Avastin®]

    Short acting (3 to 6 month) intravitreal steroids [e.g.Ozurdex®]

    Long acting (2-3 year) steroids [e.g. Iluvien®]Noopinion/not sure

    Laser Surgery

    Please comment

    Q 33. What is your perception of the efficacy of each of the following:

    Most More Neutral Less Least N/A

    Injectable anti-VEGFs approved by the FDA [e.g.Lucentis®/Eylea®]

    Injectable anti-VEGFs used off label [e.g. Avastin®]

    Short acting (3 to 6 month) intravitreal steroids [e.g.Ozurdex®]

    Long acting (2-3 year) steroids [e.g. Iluvien®]Noopinion/not sure

    Laser Surgery

    Please comment

    Q 34. What is your overall cost-benefit perception of each of the following:

  • Please describe:

    Q 35. What changes or trends do you believe may impact the importance of managing the intravitrealcategory in the next 2 years?

    Change in treatment guidelines

    Change in benefit design

    Growth of value-based payment models

    Increase in management

    Newly approved therapies

    Specialty drug expense

    Other

    Q 36. Does your organization have existing medical policy(s) in place for anti-VEGF and intravitrealsteroid products?

    No policy

    Retired policy

    Category specific policy (e.g., intravitreal injectables)

    Mechanism of Action (M0A) specific policy (e.g., anti-VEGFs, intravitreal steroids)

    Product specific policy

    Q 37. Since January 2015, did your plan experience any changes to medical coverage policy for intravitrealinjections? If so, what changes occurred? Please check all that apply:

    No change

    Added evidence to policy

    Updated policy due to new indication

    Changed requirements for use or Prior Authorization requirements

    Created a new medical policy

    Retired medical policy

  • Q 38. What drove this change? Please check all that apply:

    No change

    FDA label update

    More evidence available

    New entry to category

    Low or no inappropriate use

    High rate of Prior Authorization (PA) approvals so no need for PA

    No preferred product within category

    Manage utilization through cost-share differentials

    Other (please specify)

    Q 39. When does your organization reach out to ophthalmic specialists for medical policy development orreview processes? Please check all that apply

    When a specific question arises

    To inform new product launches

    To inform new indication launches

    To inform medical policy decisions

    To inform regular category review

  • Strongly agree Agree Neutral DisagreeStronglydisagree

    For the majority of glaucoma patients, lowerIntraocular Pressure (IOP) preserves field of vision

    For glaucoma patients, medications are preferableto surgery if appropriate intraocular pressure ismaintained and patient tolerates treatment

    For glaucoma patients, if a patient continues tohave elevated IOP when using generic treatments,it is preferable to switch the patient to a brandedpharmaceutical than to have surgery

    I am aware of the new MIGS (microinvasiveglaucoma surgery) options for treating glaucoma

    The current MIGS procedures appear to be apromising treatment option

    The current MIGS procedures are highly likely tolower pharmacy costs for glaucoma patients

    Q 40. Please state how strongly you agree or disagree with the following statements:

    Q 41. When is it appropriate to approve a laser treatment or surgical procedure for a patient withglaucoma? Please check all that apply

    When the patient has multiple medical conditions that preclude any additional pharmaceutical therapies

    When the patient is compliant, but has failed to improve on several eye drop regimens

    When the patient is unable to comply with eye drop regimens

    As soon as the patient is diagnosed with glaucoma

    Other (please specify)

    Q 42. Do you have pathways that physicians must follow before surgery?

    We have pathways and enforce them through a prior authorization protocol

    We have pathways that are not enforced by prior authorization

    No

    Not applicable

  • Strongly agree Agree Neutral DisagreeStronglydisagree

    Dry eye disease is a chronic, progressive, diseasethat if left untreated leads to deterioration of thesurface of the eye

    Appropriate treatment of dry eye has an enormousimpact on patient quality of life and ability tofunction

    Dry eye is of growing concern to plan members

    Dry eye is of growing concern to our organization

    Q43. Please state how strongly you agree or disagree with the following statements about dry eye:

    Q 44. Does your organization manage the utilization of any eye care medications?

    Yes

    No

  • Most Effective Effective Neutral Less Effective Least Effective N/A

    Claims system edit

    Dose optimization

    Generic substitution

    Medication therapymanagement

    OTC coverage

    Period of use limits

    Prescriberreimbursementdifferentials

    Prescribing restricted tospecialist

    Prior authorization

    Quantity limits

    Restricted pharmacynetwork

    Selected brand-nameexclusions

    Step therapy

    Therapeutic interchange

    Q 45. If you answered yes to the above: which utilization management techniques do you find mosteffective for eye care products?

    Q 46. Which eye conditions have products requiring utilization management? Please check all that apply

    Allergic conjunctivitis

    Bacterial conjunctivitis

    Diabetic retinopathy / Diabetic macular edema

    Glaucoma

    Keratoconjunctivitis sicca (Dry eye)

    Lid margin disease (Blepharitis)

    Pre- and post-ocular surgery

    Uvetis

    Wet eye macular degeneration

  • Please describe any anticipated changes to the way you use or enforce utilization of your SP in the next few years:

    Q 47. How does your organization use specialty pharmacy (SP) distribution of intravitreal injectables tophysicians? Please check all that apply:

    We require use of SP

    We encourage use SP

    We do not use SP

    Physicians able to buy and bill intravitreal injectables

    Q 48. Does your organization consider difficulty in administering eye drops and possible drop wastagewhen making utilization management decisions?

    Yes

    No

    Unsure

    Other (please specify)

    Q 49. In your opinion, how does patient adherence for eye drops differ from adherence for oralmedications?

    Patients are more compliant with oral medications

    No difference

    Patients are more compliant with eye drops

    Q 50. In your opinion, what percentage of patients has eye drops administered successfully into the eyemost of the time?

  • Strongly agree Agree Neutral DisagreeStronglydisagree

    Patients are very compliant with their eye dropregimens

    Patients commonly believe they instilled their dropscorrectly, but in actuality it did not reach the eye

    Difficulty with dispensing drops from the bottleappropriately can limit patient compliance

    Patients are not very compliant with eye dropregimens

    Better patient adherence can lead to fewercomplications and lower potential downstream cost

    Eye care therapies that require dosing only once aday improve adherence

    It is important to know whether patients areadherent

    Q 51. Please state how strongly you agree or disagree with the following statements about compliance andadherence:

  • Very Important Important Neutral Less Important Not important

    Administrative costs

    Disease severity

    Ease of implementation

    Minimizing hospitalizations

    Lifetime cost of care

    Manufacturer contractual incentives

    Manufacturer program support

    Patient education

    Patient outcomes

    Patient participation

    Patient productivity

    Patient quality of life

    Pharmacy costs

    Potential employer cost savings

    Potential insurer cost savings

    Potential patient cost savings

    Risk of adverse events

    Q 52. Please rate the importance of the following factors when developing adherence programs for eyecare:

    1.

    2.

    3.

    Q 53. Please name three national or regional organizations or associations (other than CMS) that have themost influence on your plan and your strategy in the eye care categories

  • Very frequently Frequently Occasionally Infrequently Rarely

    The approximate totalcost of the medicationsthey prescribe for apatient?

    The approximate dollaramount that memberspersonally pay for eachof their prescribedmedications?

    Other (please specify)

    Q 54. In your opinion, how frequently do providers know:

    Q 55. CMS recently proposed several initiatives to revise Part B product reimbursement. In your opinion,please rank which measures do you think will prove most effective in containing costs while maintaining orimproving quality:

    Adjusting reimbursement of Part B products to ASP +2.5% plus a $16.80 flat fee

    Copay waivers

    Indication-specific pricing

    Reference pricing

    Risk sharing agreements

    Strongly agree Agree Neutral DisagreeStronglydisagree

    CMS’s new pilot program that reimburses providersof Class B medications at ASP + 2.5 % plus aservice fee of $16.80 is a fair reimbursement rate

    The new CMS reimbursement program willincrease the percentage of generic medicationsadministered

    The new CMS reimbursement program will favorsustained release products

    Q 56. Please state how strongly you agree or disagree with the following statements about CMS pilotprograms:

  • Please comment

    Q 57. In your opinion, when will there begin to be a shortage of ophthalmologists?

    Currently

    Within the next 5 years

    Within the next 10 years

    There will not be a shortage of ophthalmologists

    Please comment

    Q 58. In your opinion, will optometrists become the “primary care physicians” for eye care:

    Currently

    Within the next 5 years

    Within the next 10 years

    Optometrists will not become the "primary care physicians" of eye care

    Q 59. How do you think the new sustained release products, intraocular injectables/implants and MIGS willimpact the future of eye care?

    Q 60. What challenges or opportunities do you see ahead for the eye care category?First Challenge

  • Second Challenge

    Third Challenge

    Are you willing to be interviewed or participate in a future panel discussion concerning prescription drugbenefit design trends and issues?

    Yes

    No

    Honorarium for this survey will be dispensed using the information supplied at the beginning of this surveyunless you request that it be sent to another address or donated to a designated charity in your name. Thecharity will need to provide you with the receipt for tax purposes.

    Please donate the honorarium to a charity:

    Please send the honorarium to an alternate address

    Name:

    Company:

    Address:

    Address 2:

    City/Town:

    State: -- select state --

    ZIP:

    Alternate address

    Thank you for completing the managed care research.. We will send you a final copy of the report with your honoraria.

  • * Respondent InformationQ 1. Your organization is a/an:Q 2. Please indicate which job title best describes your position:Q 3. Approximately what is the number of members enrolled in your organization's plans?Q 4. Where do your organization's members reside? Please check all that applyQ 5. What percentage of these members are enrolled in:Q 6. Do you include optometrists in your provider network? Please check all that applyIf you do not include optometrists in your provider network, why not?Q 7.  How much attention does your organization pay to these eye conditions?Q 8.  Does your organization:Q 9. In your opinion, how closely will your organization be monitoring the following eye conditions for growth over the next 2 years?Q 10. Please note the approximate percentage of  total prescriptions filled for all categories in  2015:Q 11. Please note the approximate percentage of  eye care prescriptions filled for all categories in  2015:Q 12. What do you anticipate the proportion of  total prescriptions will be for generics in:Q 13. What do you anticipate the proportion of  eye care prescriptions will be for generics in:Q 14. For your Medicare population, approximately what percentage of the organization’s pharmacy budget is spent on eye care?-Q 15. For your commercial population, approximately what percentage of the organization’s pharmacy budget is spent on eye care?-Q 16. How does your organization generally handle prescriptions for brands when a generic enters the class?   Please check all that applyQ 17. After one year of a generic introduction to a product category, approximately what percentage of your plan members are using the generic?Q 18. What percentage of covered eye care therapies are:-Q 19. What do you project the proportions will be 2 years from now?-Q 20. Please state how strongly you agree or disagree with the following statements:Q 21. How important are the following factors when reviewing a therapeutic category for your organization?Q 22. How do you rate the following factors when evaluating a new drug within a class?Q 23. What factors cause your organization to initiate a category review?  Please check all that applyQ 24. What types of comparative effectiveness studies are of most value to your organization?Q 25. Is there an exclusion policy for new drugs?Q 26. Once a new therapy receives FDA approval, how quickly can it be accepted onto your organization’s largest:Q 27. Please let us know your opinion about implantable and injectable sustained release products by stating how strongly you agree or disagree with the following statements:Q 28. Where in your organization is the decision made about an implantable drug therapy (such as Ozurdex® or Iluvien®) for eye care?Q 29. Does your organization have pathways that physicians must follow before inserting these ocular implants?Q 30. How tightly managed is your eye care category overall?Q 31. Currently, how tightly managed are the following?Q 32. In 2018, how will these be managed?Q 33. What is your perception of the  efficacy of each of the following:Q 34. What is your overall cost-benefit perception of each of the following:Q 35.  What changes or trends do you believe may impact the importance of managing the intravitreal category in the next 2 years?Q 36.   Does your organization have existing medical policy(s) in place for anti-VEGF and intravitreal steroid products?Q 37. Since January 2015, did your plan experience any changes to medical coverage policy for intravitreal injections? If so, what changes occurred? Please check all that apply:Q 38. What drove this change?   Please check all that apply:Q 39.  When does your organization reach out to ophthalmic specialists for medical policy development or review processes? Please check all that applyQ 40. Please state how strongly you agree or disagree with the following statements:Q 41. When is it appropriate to approve a laser treatment or surgical procedure for a patient with glaucoma? Please check all that applyQ 42. Do you have pathways that physicians must follow before surgery?Q43. Please state how strongly you agree or disagree with the following statements about dry eye:Q 44. Does your organization manage the utilization of any eye care medications?Q 45.  If you answered yes to the above: which utilization management techniques do you find most effective for eye care products?Q 46. Which eye conditions have products requiring utilization management?  Please check all that applyQ 47.  How does your organization use specialty pharmacy (SP) distribution of intravitreal injectables to physicians? Please check all that apply:Q 48. Does your organization consider difficulty in administering eye drops and possible drop wastage when making utilization management decisions?Q 49. In your opinion, how does patient adherence for eye drops differ from adherence for oral medications?Q 50. In your opinion, what percentage of patients has eye drops administered successfully into the eye most of the time?Q 51. Please state how strongly you agree or disagree with the following statements about compliance and adherence:Q 52. Please rate the importance of the following factors when developing adherence programs for eye care:Q 53. Please name three national or regional organizations or associations (other than CMS) that have the most influence on your plan and your strategy in the eye care categoriesQ 54. In your opinion, how frequently do providers know:Q 55.  CMS recently proposed several initiatives to revise Part B product reimbursement. In your opinion, please rank which measures do you think will prove most effective in containing costs while maintaining or improving quality:Q 56. Please state how strongly you agree or disagree with the following statements about CMS pilot programs:Q 57. In your opinion, when will there begin to be a shortage of ophthalmologists?Q 58. In your opinion, will optometrists become the “primary care physicians” for eye care:Q 59. How do you think the new sustained release products, intraocular injectables/implants and MIGS will impact the future of eye care?Q 60. What challenges or opportunities do you see ahead for the eye care category? First ChallengeSecond ChallengeThird ChallengeAre you willing to be interviewed or participate in a future panel discussion concerning prescription drug benefit design trends and issues?Honorarium for this survey will be dispensed using the information supplied at the beginning of this survey unless you request that it be sent to another address or donated to a designated charity in your name. The charity will need to provide you with the receipt for tax purposes.Alternate address

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