Content about Pharmacy Benefit Management

July 3, 2013

Oregon Gov. John Kitzhaber, a Democrat, has signed what the National Association of Community Pharmacy has characterized as groundbreaking reform legislation that applies reasonable standards to how pharmacy benefit managers audit community pharmacies, provides increased transparency into generic prescription drug reimbursement and ensures that PBM administrators of prescription drug claims are registered within the state.

June 27, 2013

The U.S. healthcare system could avoid hundreds of millions of dollars in medical costs if medication adherence rates improved, according to the CVS Caremark "2013 State of the States: Adherence Report" released today.

June 24, 2013

CVS Caremark has been awarded Mail Service Pharmacy accreditation from URAC, a Washington, D.C.-based healthcare accrediting organization that establishes quality standards for the healthcare industry, the company announced.

June 11, 2013

Catamaran will provide pharmacy benefit management services to Cigna Corp. for 10 years under a new deal between the PBM and the health insurer.

May 31, 2013

The Pharmacy Quality Alliance has given one of its top awards to pharmacy benefit manager Catamaran Corp., the PBM said Friday.

May 31, 2013

Antitrust attorney and pharmacy benefit management legal expert David Balto on Friday monitored a mini-summit helping supermarket pharmacy better navigate the PBM universe.

May 21, 2013

Spending on specialty drugs is likely to increase by 67% over the next couple of years, according to a new study by pharmacy benefit manager Express Scripts.

May 20, 2013

A recent survey commissioned on behalf of a pharmacy benefit manager trade group found a high degree of satisfaction among Medicare Part D beneficiaries with preferred pharmacy plans.

May 14, 2013

Medicare Part D plans that create tiered networks of pharmacies for beneficiaries need more oversight amid reports that small and medium-sized pharmacies are being excluded from them, several senators wrote in a letter last week to the Centers for Medicare and Medicaid Services.

May 13, 2013

Walgreens extended its agreement as a network pharmacy provider in the CVS Caremark pharmacy benefit management national retail network.

May 9, 2013

Bipartisan legislation that would let pharmacists devote more time to Medicare beneficiaries and less to adjudicating claims with pharmacy benefit management firms was introduced in the U.S. Senate and won the backing of the National Community Pharmacists Association earlier this week.

May 7, 2013

The National Community Pharmacists Association is expecting its highest turnout in two years for the association's 2013 Legislative and Government Affairs conference being held Tuesday and Wednesday.

May 2, 2013

CareFirst BlueCross BlueShield has entered into a three-year agreement with CVS Caremark to provide pharmacy benefit and other related services to its commercial and Medicare Part D members, CareFirst announced earlier this week.

April 23, 2013

Unnecessary spending related to medications totaled nearly half a trillion dollars last year, and much of that was in the poorest states in the country, according to pharmacy benefit manager Express Scripts.

April 16, 2013

DSN spoke at length with two Catamaran executives — Albert Thigpen, SVP pharmacy operations and industry relations, and Sumit Dutta, SVP and chief medical officer — about the PBM’s new approach to managed pharmacy care and the changes driving that strategy.

April 15, 2013

The governor of North Dakota has signed into law a bill that would require pharmacy benefit managers to inform pharmacies about how reimbursement for generic prescription drugs is calculated under maximum allowable cost benchmarks and provide a more detailed appeals process to pharmacies to contest the MAC reimbursement caps that PBMs set up.

April 4, 2013

Washington-based accrediting organization URAC has accredited pharmacy benefit manager Catamaran Corp.'s specialty pharmacy brand, Catamaran said.

April 2, 2013

Specialty drugs are expected to account for 50% of all drug costs by 2018, according to two new studies.

March 25, 2013

Kentucky became the first state to enact legislation that provides pharmacists with transparency into how health plans determine pharmacy reimbursements for generic drugs, and establishes an appeals process when a dispute arises over those payment levels.

March 15, 2013

The National Community Pharmacists Association endorsed H.R. 1188, legislation introduced by U.S. Reps. Tom Marino, R-Pa., and Judy Chu, D-Calif., that would allow independent community pharmacies to collectively negotiate.

March 13, 2013

Bills introduced in Oregon's state legislature would allow employers and other health plan sponsors to have greater knowledge about how pharmacy benefit managers determine the rates at which they pay pharmacies for dispensing generic drugs; establish new standards for pharmacy audits while requiring PBMs to register in the state and be licensed by the state board of pharmacy; and prevent health plans from requiring residents of the state to use mail-order pharmacies.

March 8, 2013

While the country's spending on specialty drugs increased by 18.4% in 2012, spending on traditional drugs fell for the first time in 20 years, according to a report by Express Scripts.

March 7, 2013

Employers that use multiple cost-management programs have a 50% lower specialty drug trend than those that don't use them, according to a new study by pharmacy benefit manager Express Scripts.

March 6, 2013

The National Community Pharmacists Association joined the North Dakota Pharmacy Association in support of a pharmacy benefit manager transparency bill that was passed by the state assembly by a vote of 93-0 on Feb. 25.

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