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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

Generic Drugs Key Tool For PBMs In Keeping Costs Down

February 12, 2020

Pharmacy Benefit Managers Drive Generic Utilization PBMs create formularies with preferred generic drug tiers to incentivize use of generics. PBMs create formularies with preferred generic drug tiers to incentivize use of generics. PBMs create formularies with preferred generic drug tiers

Generic Drugs Are an American Success Story, Here’s Why

June 10, 2022

Thanks to PBMs’ efforts to give patients an incentive to use them and pharmacies an incentive to purchase them at the lowest prices, generics are widely available and affordable for hundreds of millions of Americans.

The Low Cost of Generic Tadalafil Prescription Medication

May 18, 2021

Main Information On Tadalafil Principle of Action Tadalafil is the main active ingredient of Cialis, one of the most popular drugs for erectile dysfunction (ED) today. This substance is responsible for the effect of Cialis on the male body. How

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

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

PCMA Statement on New Avalere Study Examining Generic Drugs in Medicare

May 22, 2018

(Washington, D.C.) — The Pharmaceutical Care Management Association (PCMA) issued the following statement today on a new Avalere study, Generic Drugs in Medicare Part D, Trends in Tier Structure and Placement, released by the Association for Accessible Medicines: As the

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

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

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