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PBM

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

Express Scripts replaces CVS with Walgreens for TRICARE

Express Scripts replaces CVS with Walgreens for TRICARE

ST. LOUIS — Express Scripts Inc. is changing out CVS Pharmacy for Walgreens in its retail pharmacy network for TRICARE, the U.S. military’s health care and drug benefits program. Plans call for Walgreens pharmacies to join the Express Scripts network for TRICARE on Dec. 1. At that time, CVS pharmacies — including CVS locations in

Walgreens, Prime Therapeutics form alliance

Walgreens, Prime Therapeutics form alliance

DEERFIELD, Ill., and ST. PAUL, Minn. — Walgreens has entered into a long-term alliance with Prime Therapeutics, the nation’s fourth-largest pharmacy benefit manager, that will include the creation of a joint pharmacy services company. Under the partnership, Walgreens and Prime will combine their central specialty pharmacy and mail service businesses, the companies said Monday. The