Pills on Parade: A growing array of highly visible drug-therapy options is creating tough...

An 11% increase in health care costs fueled by a near 20% rise in prescription drug expense is putting employers in the precarious position of trying to balance their budgets without appearing overly involved with clinical decisionmaking.

But although employers are turning to cost-sharing measures and tiered formularies to keep at least some discipline on expenses, the problems show no signs of abating. One study by the Blue Cross and Blue Shield Association and the Health Insurance Association of America predicts prescription drug expenditures will double from $105 bil