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PBM

NCPA urges robust enforcement of PBM reform law in W.Va.

NCPA urges robust enforcement of PBM reform law in W.Va.

ALEXANDRIA, Va.  — The National Community Pharmacists Association has urged the West Virginia Offices of the Insurance Commissioner to watch out for pharmacy benefit manager “games” when developing rules to implement reform legislation approved by Republican Gov. Jim Justice (R). Among other things, HB 2263 will implement reporting requirements to ensure transparency; prevent PBMs from

NACDS applauds Alabama PBM law

NACDS applauds Alabama PBM law

MONTGOMERY, Ala. – The National Association of Chain Drug Stores is hailing Republican Alabama Gov. Kay Ivey for signing into law legislation (Act 2021-341) on May 6 which further regulates pharmacy benefits managers (PBMs) and helps ensure that  reimbursement rates cover pharmacies’ costs of purchasing drugs. The measure – sponsored by Republican State Sen. Tom

FMI celebrates victory in SCOTUS PBM case

FMI celebrates victory in SCOTUS PBM case

ARLINGTON, Va. – Today, the U.S. Supreme Court released a unanimous decision in the case of Rutledge v. Pharmaceutical Care Management Association that provides a crucial victory to all pharmacy stakeholders seeking the ability to regulate the practices of drug middlemen known as pharmacy benefit managers (PBMs). The decision restores Arkansas’ Act 900, a pro-pharmacy, pro-consumer

CVS PBM ends out-of-pocket costs for diabetes drugs

CVS PBM ends out-of-pocket costs for diabetes drugs

WOONSOCKET, R.I. — CVS Health unveiled a new solution that eliminates out-of-pocket costs associated with all diabetes prescription medications, including insulin, for members of the company’s pharmacy benefit manager. Offered through the CVS Caremark PBM, RxZERO enables employers and health plan sponsors to leverage formulary and plan design approaches to offer all categories of diabetes

Express Scripts earns high marks in 2018 PBMI report

Express Scripts earns high marks in 2018 PBMI report

ST. LOUI S — According to the Pharmacy Benefit Management Institute’s (PBMI) 2018 PBM Customer Satisfaction Report of plan sponsors, Express Scripts leads the industry in customer satisfaction, earning the highest overall satisfaction rating, 8.1, among large PBMs serving more than 20 million members. Satisfaction is rated on a 10-point scale, with 10 indicating highest satisfaction.

Merlo sets record straight on rebates

Merlo sets record straight on rebates

WOONSOCKET, R.I. — The Trump administration’s blueprint to lower drug prices has put the spotlight on the rebates negotiated by pharmacy benefits managers with drug manufacturers. During a recent conference call, CVS Health president and chief executive officer Larry Merlo addressed the issue while making a spirited defense of the role of PBMs in containing

Diplomat launches CastiaRx, leading specialty benefit manager

Diplomat launches CastiaRx, leading specialty benefit manager

FLINT, Mich. — Diplomat Pharmacy has unveiled CastiaRx to respond to industry demand for a leader in specialty benefit management. CastiaRx unites the full-service pharmacy benefit manager (PBM) capabilities of recently acquired LDI Integrated Pharmacy Services and National Pharmaceutical Services with Diplomat’s specialty pharmacy and infusion expertise. According to the IQVIA Institute for Human Data

PBMs face tougher regulations in several states

NEW YORK — Pharmacy benefit managers have become the target of state legislation around transparency, with lawmakers attempting to increase regulation and protect patients. Lawmakers believe that increasing transparency within big PBMs would benefit the industry as well as patients through the institution of clear metrics and incentives that would be aligned with the services

Five ways Amazon can jump into health care

Five ways Amazon can jump into health care

  BOSTON — Online retail giant Amazon will enter the broader health care market — it’s just a question of how, according to global management consulting firm L.E.K. Consulting. In a new report released yesterday, L.E.K. said Amazon has the right combination of capabilities for “its big health care-industry ambitions” and could launch offerings running the gamut from

CVS Health promotes Jon Roberts to COO

CVS Health promotes Jon Roberts to COO

WOONSOCKET, R.I. — Veteran CVS Health executive Jon Roberts has been named the company’s executive vice president and chief operating officer, a new position. CVS said Thursday that Roberts, who was president of the CVS Caremark pharmacy benefits management unit, will continue to report to CVS Health president and chief executive officer Larry Merlo. As

PCMA explains drug price transparency

PCMA explains drug price transparency

With high prescription drug costs a pillar of the national debate on health care, the Pharmaceutical Care Management Association (PCMA) is trying to shed some light on drug pricing. The Washington, D.C.-based PBM trade group on Wednesday released a video titled, “What is drug price transparency?”. PCMA said the goal is to show how transparency