RT Journal A1 Anderson MJ, Spivack BS T1 PHarmaceutical benefits managers and optimizing prescribing JF JAMA JO JAMA YR 1999 FD April 7 VO 281 IS 13 SP 1168 OP 1168 DO 10.1001/jama.281.13.1168 UL http://dx.doi.org/10.1001/jama.281.13.1168 AB We agree that the drugs and dosages identified by Beers3 generally should be avoided in older adults. Furthermore, physicians who choose to prescribe these agents must fully appreciate the associated risks and implement a monitoring plan to regularly review effectiveness and toxic effects. Express Scripts/ValueRx, Plymouth, Minn, encourages the application of these principles through our Seniors Program, which delivers targeted education to physicians prescribing for older adults. The program materials, delivered via mail or fax, provide referenced physician education and patient-specific pharmacy claims history. Physicians are asked to consider the information provided when prescribing and monitoring therapy for their older patients.