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About Our Industry

December 16, 2020

ABOUT OUR INDUSTRY About PCMA The Pharmaceutical Care Management Association (PCMA) is the national association representing America’s pharmacy benefit managers (PBMs). PBMs administer prescription drug plans for more than 266 million Americans who have health coverage from a variety of

PBM Mail-Service Pharmacies

October 28, 2020

PBM Mail-Service Pharmacies Many Americans rely on the mail-service pharmacies operated by pharmacy benefit managers (PBMs) for convenience and value. Having regularly needed medication(s) delivered by mail is more convenient and may promote adherence for patients with restricting health conditions

Drug Coverage Mandates

July 19, 2016

PBMs negotiate rebates from drug manufacturers in exchange for covering their drugs and granting preferred status on formularies. Imposing mandatory drug coverage or limiting cost-sharing requirements for prescription drugs raises premiums and grants drug companies unlimited pricing power. Such mandates

PBM Industry Principles

July 1, 2021

PBM Industry Principles PBMs have distinct business processes that differentiate them in the market, but PBMs also adhere to stringent accreditation standards, the terms of negotiated contracts, and legal requirements. In support of our health plan sponsor clients, we are

COVID-19: How PBMs Are Helping Patients and Health Plans

May 21, 2020

COVID-19: HOW PBMs ARE HELPING PATIENTS AND HEALTH PLANS PCMA COVID-19 Updates JC Scott: 12 Ways PBMs Are Helping Patients Access COVID-19 Vaccines COVID-19 Resources: Pharmaceutical Supply Chain and Payment Coalition How PBMs are Supporting Access to COVID-19 Vaccines Understanding

The Medicare Prescription Drug Rebate Rule

February 23, 2021

The Medicare Part D prescription drug benefit provides our nation’s seniors with affordable drug coverage, which is more important now than ever. The rebate rule clumsily attempts to eliminate the primary tool used by pharmacy benefit managers, or PBMs, to negotiate

Direct and Indirect Remuneration (DIR)

November 26, 2019

America’s pharmacy benefit managers (PBMs) are dedicated to controlling drug costs by encouraging competition among drug manufacturers and pharmacies and incentivizing consumers to take the most costeffective, clinically appropriate medications. PBMs facilitate patient pharmacy care management and provide real-time information

Specialty Pharmacies

July 19, 2016

Specialty pharmacies were established in direct response to the industry’s need to better procure, store, and dispense specialty drugs, as well as better manage therapy for patients on specialty drugs. Among other things, these pharmacies specialize in the unique storage

PBMs SUPPORT POLICIES TO LOWER DRUG COSTS AND INCREASE QUALITY OF CARE

November 11, 2019

Enhance Pharmacy Direct or Indirect Remuneration (DIR) PBMs support enhancing pharmacy DIR through transparent pharmacy quality metrics developed by independent standard-setting organizations. Pharmacy DIR rewards pharmacies for improving patient care and service. Download Infographic View More Research Articles

Video Series: How to Get Your Medications Safely and Conveniently During COVID-19

February 4, 2021

Over 266 million Americans rely on daily prescription medications to maintain their health, and there can be severe consequences if someone suddenly stops taking a prescribed drug. In interviews, JC Scott, President & CEO of the Pharmaceutical Care Management Association

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