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.
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