From Drug Benefit News - A new law enacted late last month will require all California health plans that provide prescription drug benefits to use a standard template to display their drug formularies. Both the health plans themselves and California’s exchange, Covered California, must provide links to these formularies. But health plan stakeholders argue that the law poses an administrative burden on plans and does nothing to address the rising cost of prescription drugs. Read more
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
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