• PBA Model Offers Transparency, Control to States and Employers
• MCOs With Local Market Share, Control, Bring Rebates In-House
• Selected MCOs With In-House Rx Rebate Management, December 2003
• Pittsburgh Employers’ Deal With PharmaCare Shows Advantages of Group Contracting
• MCO Direct Contracting With Drug Firms Has Potential to Net Gains
• Medco Shares Rebate-Contracting Strategy for Part D Benefit
• Transparency Demands Spawn New Firms, Shake Up Traditional PBMs’ Strategies
• Study Measures PBM Revenue Source, Prompts Ongoing Debate
• Features of PBM Contracts — Transparent and Otherwise
• Transparency Requests Lead to Creative, Confusing Contracts
• Next-Generation Relationships Between Payers and PBMs
• Examples of PBM Contracted Discounts and Resulting Spread
• One PBM Warns of ‘Spread’ While PCMA Fights States on Disclosure
• Illinois Mail-Order Flap Highlights PBM Contracting, Transparency Controversies
• Web-Based Rebate Management Tool to Improve Contracting Process
• Opaque PBM Contracting Raises Red Flags; Plans Must Ask Basic Questions, Feds Say
• PBMs, Health Plans Eye ‘Access Rebates’ Over Other Rx Rebate Methods, Survey Finds

Chapter 2: Transparency Strategies and Challenges

• Premera Sees ‘Transparency’ as Being More Than Rebates, Discounts
• Ventegra Launches as PBA-GPO Hybrid Pharmacy Benefit Service
• PBM Transparency Deal May Lower Rx Drug Spending, but Won’t Shake Up the Industry
• More PBM Transparency May Not Cut Costs, but Could Boost Trust

Chapter 3: Transparency in Contract Negotiations

• Two Large Employer Coalitions Insist on Full Transparency in PBM Arrangements
• HCSC Chooses Prime Therapeutics’ Unique Business Model, Says Transparency Is Key
• HealthExtras Wins Louisiana Pact, Cashes In on Transparent Model
• Clients’ Transparency Demands Spawn New Firms, Shake Up Other PBMs’ Strategies
• Transparency Is Key, but Not Only, Factor in Ohio Coalition’s PBM Contract Award
• Savannah Business Group Starts Offering Transparent PBM Model From Envision
• Employer Coalition Picks PharmaCare as ‘Preferred PBM’ in Fully Transparent Deal
• Medco Wins Four-Year NC State Employees Fee-Based Contract on Service, Disclosure
• Express Scripts, Walgreens Protest Illinois PBM Pact Awarded to Medco
• PBM Contracts Won on Basis of Transparency, as of February 2005
• Experts Offer Advice to Payers on Comparing Transparent PBM Bids
• CalPERS Follows Payers’ Lead as It Seeks an ‘Unprecedented Degree’ of Transparency
• Three PBMs Picked to Offer Transparency to Employer Coalition

Chapter 4: Rebate Negotiations

• MCOs With Local Market Share, Control, Bring Rebates In-House
• Hawaii Health Plan in Rehabilitation Opts to Stop Participating in Drug Rebates
• Employer Coalition Seeks to Circumvent PBMs, Directly Contract for Drug Rebates
• Hewitt Exec Explains Why Coalition’s Direct-Contract Plan Failed

Chapter 5: Public Sector Contract Awards

• Caremark Rakes in Big Public-Sector Pacts Replacing Other PBMs in Texas, Chicago
• FEHBP Vendor Switch Has Implications for All PBMs, Not Just Medco and Caremark
• South Carolina Flip Flops on PBM Contract; Medco Wins One-Year $300 Million Deal
• Envision Beats Out Three Contenders to Serve 1.7 Million Under Ohio’s Best Rx
• Medco Wins RFP to Serve Texas Employees Drug Plan, Despite Contract Disclosure Suit
• Medco Wins Two State Bids Away From Express Scripts, One Mainly on Transparency
• Medco Poised to Regain CalPERS Contract; ‘Transparent’ RFP Drew Multiple Bidders
• Medco’s ‘Strides’ in Business Practices Propel HealthNow, CalPERS Contract Wins
• Maryland Awards Catalyst Rx Contract, Passes on PBM Curbs
• Minnesota to Consolidate Pharmacy Benefit, Taps Navitus as Sole PBM for State Workers

Chapter 6: Federal and State Initiatives