Lupin 2023

CVS wins WellCare PBM contract

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TAMPA, Fla. — WellCare Health Plans Inc., a provider of managed care services for government-sponsored health care programs, has shifted its pharmacy benefits management to CVS Health.

With the move, CVS Health now administers pharmacy benefits and processes pharmacy claims for approximately 3.8 million WellCare members who participate in the company’s Medicaid, Medicare and Prescription Drug Plan (PDP) programs throughout the United States.

“WellCare is committed to improving the quality of care and services we provide to our members to help them live better, healthier lives,” said Laura Hungiville, WellCare’s chief pharmacy officer.

“We are pleased to partner with CVS Health to provide a comprehensive network of pharmacies and clinical programs designed to promote better health outcomes for our members.”

The clinical programs are developed to improve beneficiary medication adherence and utilization. The programs, which use a coordinated care approach that includes both plan members as well as providers, will help to eliminate potential drug therapy issues, gaps in care and potential overutilization or underutilization of medications.

A recent CVS Health study that was published in the journal JAMA Internal Medicine found pharmacy networks that incentivize plan members to use specific in-network pharmacies are associated with improved medication adherence.

“We are pleased to support WellCare and its members,” said Jonathan Roberts, president of CVS/caremark, the PBM business of CVS Health. “We believe that CVS Health’s unique integrated model for pharmacy care will provide WellCare members with innovative, cost-effective pharmacy benefit management services that also help improve health outcomes.”

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