Pharmacy Benefit Management

From Drug Benefit News - CVS Health’s CVS/caremark PBM unit will pay the U.S. $6 million to settle allegations that it knowingly failed to reimburse Medicaid for prescription drug costs that were the responsibility of private health plans administered by the PBM, the U.S. Department of Justice said on Sept. 26. The settlement comes as a result of a whistleblower lawsuit filed by former Caremark employee Donald Well. Read more

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

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...

It's quick and easy to sign up for FREE access to AISHealth.com!

Why do I need to register?