From Specialty Pharmacy News - Consumer advocacy groups in California and Florida have taken various actions against health plans and their coverage of HIV/AIDS drugs and requirements for members who take them. And while Consumer Watchdog and The AIDS Institute, in conjunction with The National Health Law Program (NHeLP), are taking somewhat different approaches, they are united in the contention that these members are being discriminated against, and the Affordable Care Act (ACA) bans health plans from discriminating against people on the basis of disability. Read more
From Drug Benefit News - While PBMs have been giving significant attention to the rising cost of compounded medications (see story, above), another traditional category that’s driving trend at an alarming rate is diabetes. According to recent trend reports, PBMs observed double-digit increases in diabetes drug costs in 2013, largely due to inflation. Read more
From Drug Benefit News - While PBMs have begun making bold moves to manage the cost of compounded medications through coverage changes and even contract terminations (see story, p. 1), a new limited network has popped up that seeks to preserve these specialized medicines as a covered benefit by excluding the “players that have given the compounding industry a bad name.” United Compounding Network (UCN) is meant to be a closed, limited network that includes… Read more
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