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
From Drug Benefit News - Narrow pharmacy networks are becoming more commonplace throughout the market, as plan sponsors realize they can reduce prescription drug costs through improved dispensing fees and other discounts with little member disruption. But in order to successfully implement a narrow or tiered network, plans must deploy a varied communication strategy with both members and providers, advised three pharmacy experts during the Aug. Read more
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