Pharmacy Benefit Management

From Drug Benefit News - In what it’s calling the first “real-world” look at Sovaldi (sofosbuvir) utilization patterns since the costly oral hepatitis C treatment hit the market late last year, CVS Health on Sept. 17 released data showing “a plateau and actual downward trend” in the number of new Sovaldi users from May to August 2014. Read more

From Specialty Pharmacy News - The ongoing feud between Highmark Inc. and the University of Pittsburgh Medical Center (UPMC) took an unexpected twist earlier this month. On Sept. 3, the insurer and subsidiary Keystone Health Plan West, Inc. (KHPW) sued UPMC — including multiple hospitals in its system and physician group practices — to recoup $300 million that Highmark says UPMC and its hospitals overbilled for oncology care. It’s a novel approach to a trend… Read more

Pharmacy Benefit Management Blog

By Lauren Flynn Kelly - October 17, 2014
Halloween is hands-down my favorite holiday. I love a good horror movie and an even scarier costume. Personal anecdote: I once ran in New York’s Greenwich Village Halloween Parade dressed as a chainsaw-wielding Patrick Bateman from American Psycho. When it comes to health care, one thing that...
By Angela Maas - October 16, 2014
Specialty drugs have been in the news often lately, mainly because of their high prices. But many of them offer benefits over traditional drugs, according to a study by researchers with the Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy...
By Lauren Flynn Kelly - October 3, 2014
For the fourth year in a row, the U.S. is observing National Substance Abuse Prevention Month, thanks to a Presidential Proclamation issued in 2011. As many in the drug benefit industry know, prescription drugs such as opioid pain relievers are a big part of substance abuse — with more than 5...

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