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pharmacy benefit manager (PBM)

Pharmacy challenges abound — so do opportunities

Pharmacy challenges abound — so do opportunities

Today’s retail pharmacies face increasing pressure from all fronts. Governments are aiming to reduce health care costs, and public sentiment is pushing the industry toward a value-based model. The use of high-cost specialty drugs is increasing dispensing complexity and shifting channel volume — at a time when disruptors like Amazon are poised to impact pricing.

CVS says managed care model can save millions

CVS says managed care model can save millions

WOONSOCKET, R.I .— New research from CVS Health shows that state Medicaid programs that use a Managed Care Organization (MCO) and a contracted pharmacy benefit manager (PBM) to administer prescription drug coverage have significantly lower overall drug costs than those states that manage their own formulary. Further, researchers found that when states switched to managing