I thought I solved the problem by NEVER prescribing a medication that was introduced after 1996. After all, we had pretty good meds back in the day -- or we thought we did.
In the rare case where it might actually improve someone's life, I will usually go through the hassle of a PA (maybe once in 6 months) -- but after all the trouble, I am usually not convinced that it really did what it was supposed to do.
Now, maybe these guys have figured out a way around my self-preservation strategy in "OptimizerRX". We'll see.