Pharmacy Benefit Management

From Drug Benefit News - A new clinical practice guideline’s lower threshold for hypertension increases the prevalence of the condition to include nearly half of adults in the U.S. But this doesn’t necessarily mean patients below the old standard will require antihypertensive drugs. Instead, the guideline focuses on alternative approaches for many at-risk individuals, thus opening the door to opportunities for health plans ranging from adherence incentives to lifestyle management and disease management programs, industry experts say. Read more

From Drug Benefit News - CMS is drawing mixed responses to its Nov. 16 release of proposed policy revisions to the Medicare Advantage (MA) and Medicare Part D programs for 2019. The Pharmaceutical Care Management Association (PCMA), said in a statement the next day that, while it continues to review the agency’s lengthy proposal, the group is “initially encouraged by provisions that promote the use of lower-cost generics and biosimilars and make it harder for… Read more

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