Pharmacy Benefit Management

From Drug Benefit News - As the roles of retail pharmacies are set to transform, PBMs can capitalize on their own capabilities and collaborate with pharmacies, as well as other stakeholders, in a variety of ways. Pharmacies, maintains a recently released report, have the opportunity to offer a wide array of services from which consumers can pick and choose. This could be done through broadening their own offerings, as well as collaborating with other health care stakeholders on new efforts to provide care. Read more

From Specialty Pharmacy News - Blue Cross and Blue Shield of New Mexico earlier this year launched an oncology medical home pilot that the payer says it expects will decrease emergency room and urgent care visits, as well as hospitalizations. Read more

Pharmacy Benefit Management Blog

By Lauren Flynn Kelly - April 14, 2016
In the latest squabble between drugstores and PBMs, the National Community Pharmacists Association (NCPA) on April 1 issued a letter to CMS Deputy Director Cynthia Tudor asserting that Medicare Part D plans and PBMs are not complying with a federal requirement to use drug pricing standards that “...
By Angela Maas - March 30, 2016
As high drug prices continue to make headlines and draw congressional ire, hepatitis C drugs and “Mr. Wu-Tang” Martin Shkreli seem to be getting a reprieve as focus turns to the prostate cancer drug Xtandi. On March 28, 12 members of Congress sent a letter to HHS Sec. Sylvia Burwell and Francis...
By Lauren Flynn Kelly - March 4, 2016
Since the introduction of direct-acting antivirals that in clinical trials demonstrated higher sustained virologic response (SVR) rates in hepatitis C patients than ever before, we’ve seen figures on sales, treatment costs, adherence levels, etc. For example, Harvoni (ledipasvir and sofosbuvir) and...

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