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
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
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