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February 5, 2016

Recent Stories

From Drug Benefit News - During a recent presentation at the 34th Annual J.P. Morgan Healthcare Conference, held Jan. 11-14 in San Francisco, Anthem Inc. estimated it could save at least $3 billion on drug costs per year by exercising a “repricing provision” in its long-term PBM contract with Express Scripts Holding Co. That estimate boggled some analysts, who questioned whether Anthem would ultimately renew with Express Scripts, and news of unrest between the PBM and its biggest client sent Express Scripts’ stock tumbling 6.5% by the close of Jan. 13. Read more

The Centers for Disease Control and Prevention last month unveiled some disturbing… Read more

As specialty pharmacy expenditures continue to reach new heights and are expected… Read more

2015 was a landmark year for pharmacy benefits management, as the high… Read more

From the Editor

Welcome to your Drug Benefit News subscriber-only Web page

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February 1, 2016
CMS Publishes Long-Awaited 'AMP Rule'

CMS today published a final rule pertaining to Medicaid reimbursement for covered outpatient drugs. The rule, Medicaid Program; Covered Outpatient Drugs (81 Fed. Reg. 5169, Feb. 1, 2016), implements changes set forth in the Affordable Care Act. One key provision being finalized is the calculation of average manufacturer price (AMP) to establish federal upper limits for generic drug reimbursement to pharmacies. Download or view the rule here.

December 31, 2015
Prime Therapeutics Takes CVS to Court After Failed Arbitration

Prime Therapeutics sues CVS after failing to settle drug reimbursement discrepancy outside of court.

December 9, 2015
Senate Special Committee Seeks Answers on Rx Price Hikes

The Senate Special Committee on Aging wants to know why “Mr. WuTang” can dramatically raise the price of daraprim.

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