Pharmacy Benefit Management

From Drug Benefit News - Health plans selling now on public exchanges for plan year 2015 have significantly higher drug copay levels than 2014 plans, according to research from AIS’s Rx Benefit Design Data (RxB), a new online subscription database. Bronze-level plans have the biggest increases, on average, in prescription drug copays for in-network retail fills on all formulary tiers. Drug copays for bronze-level plans now average $18.59 for generics, a 30.55% increase over the 2014 amount. Read more

From Drug Benefit News - Employers of participating coalitions around the country this month are getting a first look at a comprehensive tool from the National Business Coalition on Health (NBCH) comparing PBM services and may be surprised by a few of the results. Read more

Pharmacy Benefit Management Blog

By Angela Maas - January 23, 2015
After Gilead launched its hepatitis C treatment Sovaldi in late 2013 with a $1,000-per-day price tag, it seems like every day I’ve seen another article on this drug and how PBMs and payers are covering — or not covering — it. Then when the manufacturer brought Harvoni to the U.S. market in October...
By Lauren Flynn Kelly - December 29, 2014
From the exorbitant cost of new hepatitis C treatments to rising generic drug prices, payers experienced several new thorns in their side this year when it came to managing the pharmacy benefit. Let’s take a look back at some of the biggest news stories reported by Drug Benefit News. "CVS Caremark...
By Angela Maas - December 16, 2014
When the Biologics Price Competition and Innovation Act passed as part of the health reform law, it established a pathway by which biosimilar drugs could gain abbreviated approval by the FDA. But beyond creating that pathway, little else about the process was laid out in the law, leaving the...

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