Pharmacy Benefit Management

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 the “best 1%” of compounded pharmacies so that payers don’t have to do the legwork involved with credentialing and contracting to avoid waste. Read more

From Drug Benefit News - Earlier this month, rumors of a possible sale of Humana Inc.’s PBM division began swirling after said the insurer was evaluating strategic options for Humana Pharmacy Solutions and suggested that the PBM could be gobbled up for as much as $7 billion by Catamaran Corp., CVS Caremark Corp. or Express Scripts Holding Co. But while speaking at a recent health care conference, Humana President and CEO Bruce Broussard appeared… Read more

Pharmacy Benefit Management Blog

By Lauren Flynn Kelly - July 15, 2014
In the July 11 issue of Drug Benefit News, we profiled the complex category of diabetes treatments, which has some 380 products in various stages of clinical development. But with a wide array of treatment options comes the challenge of keeping patients on their medications. Next to high...
By Lauren Flynn Kelly - June 30, 2014
I have a confession to make. After all the articles I’ve written and webinars I’ve hosted on payer efforts to curb the use of manufacturer-offered drug copay coupons, I finally used an actual copay coupon the other day. But I just barely made it through the process, thanks to an incredibly long and...
By Lauren Flynn Kelly - June 5, 2014
Earlier this week, the Pharmaceutical Care Management Association (PCMA) called attention to a new National Center for Policy Analysis (NCPA) report that makes the case against any willing pharmacy participating in specialty pharmacy networks. “Specialty drugs require a level of experience and...

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