California Makes Waves With Pharma Benefits, Purchasing Plan
With Chart: California Medicaid Could Shift to Fee-for-Service Drug Benefit
January 24, 2019
Under the direction of its new governor, Democrat Gavin Newsom, California is planning to take control of the pharmacy benefit for all of the state’s Medi-Cal beneficiaries — the vast majority of which currently have that part of their care administered by private insurers and their PBMs. What’s more, the order directs state agencies to create bulk-purchasing arrangements for high-priority drugs, like those without generic alternatives, and establish a framework for letting private businesses and insurers join the state’s buying pool.