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Fraud, Waste, & Abuse

July 19, 2016
PBMs employ a variety of state-of-the-art techniques when working with pharmacies and other stakeholders to combat fraud, waste, and abuse. Vigilance against fraud is paramount to ensure that scarce health care resources are used for legitimate purposes. According to PCMA-sponsored
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Drug Coupons & Assistance Programs

July 19, 2016
Drug companies rely on financial subsidy programs to increase product uptake among insured patients. Unlike means-tested patient assistance programs, which assist uninsured or indigent populations, copay assistance and free drug programs target patients who are already covered by insurance plans.
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The Hill’s Top Lobbyists 2021

December 1, 2021

Street played an outsized role in this year’s policy debates, working behind the scenes to reshape the COVID-19 relief package, bipartisan infrastructure bill and Democrats’ climate and social spending plan.

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Pharmacy Contracting & Reimbursement

July 19, 2016
PBMs contract with pharmacies on behalf of health plans and employers to serve patients by building networks of preferred pharmacies. As part of the negotiations to become a preferred network provider, pharmacies and PBMs negotiate contract types, payment rates for
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Drug Cost Management

July 19, 2016
The management of high cost drugs is receiving increased attention from patients, providers, payers, and policymakers due to ongoing drug price increases and the aggregate impact on health care costs. PBMs are responsible for creating novel solutions to improve the quality
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Policies To Reduce Prescription Drug Costs in 2021

January 5, 2021
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 sponsors. PCMA continues to lead
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COVID-19: How PBMs Are Helping Patients and Health Plans

September 9, 2020
COVID-19: Principles on Patient Access to Prescription Drugs During this public health emergency, PBMs are committed to helping the patients we serve practice social distancing and stay at home safely with convenient, reliable access to their needed prescription drugs. As
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Repeal Rule

February 23, 2021
Thank You for Protecting My Medicare Premiums Medicare beneficiaries appreciate the Biden Administration’s decision to delay the prescription drug rebate rule. Government studies show the rule would: Increase Medicare Part D premiums 25% Cost taxpayers $170 billion We urge Congress
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Repeal Rule

February 23, 2021
Thank You for Protecting My Medicare Premiums Medicare beneficiaries appreciate the Biden Administration’s decision to delay the prescription drug rebate rule. Government studies show the rule would: Increase Medicare Part D premiums 25% Cost taxpayers $170 billion We urge Congress
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Annual Meeting 2018

November 16, 2018
The PCMA Annual Meeting is the industry's premier executive conference. The event is tailored specifically for senior executives from PBMs and their affiliated business partners - most notable drug manufacturers. We've designed the Annual Meeting to be an important part of
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