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Employers, Unions, & Insurers

July 19, 2016
PBMs administer prescription drug plans for more than 266 million Americans with health coverage provided through Fortune 500 employers, health insurers, and labor unions, as well as through public programs such as Medicare and Medicaid. A common thread connecting all programs
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Drug Abuse Prevention

August 18, 2016
PCMA supports the creation of “Safe Pharmacies” in Medicare Part D for Controlled Prescription Drugs. The creation of “Safe Pharmacies,” or a “Lock-In” program in Part D for controlled substances, will allow Part D plans to require at-risk beneficiaries to
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Value & Outcomes-Based Contracting

July 19, 2016
PBMs and payers are committed to the affordability and sustainability of the healthcare system and recognize the importance of aligning reimbursement around value instead of volume. Traditionally, risk-sharing agreements between payers and drug manufacturers have not been tied to the
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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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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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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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FEHB Program

July 19, 2016
The Federal Employees Health Benefits (FEHB) Program is the employer-sponsored federal group health insurance program that covers over 9 million federal civilian employees, retirees, former employees, and their families. The FEHB Program is voluntary and is financed through employee and
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TRICARE

July 19, 2016
TRICARE is the health care program for uniformed service members and their families around the world. This includes active duty and retired members of the: U.S. Army, U.S. Air Force, U.S. Navy, U.S. Marine Corps, U.S. Coast Guard, the Commissioned
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