The Pharmacy Benefit Brief | September 2021

Welcome to the Pharmacy Benefit Brief. This brief is your monthly snapshot of news from America’s prescription drug supply chain including pharmacy benefit managers, independent pharmacies, and drug manufacturers.     THE GREAT DISPENSING DEBATE… Among ways that pharmacists are paid for the work that they do, they are paid fees for the act of...

Keep Reading

Mandating Pharmacy Reimbursement Will Increase Prescription Drug Spending

Paying pharmacies more for dispensing medications will raise prescription drug costs without improving value. A lot goes on behind the scenes when a patient picks up their prescription from the pharmacy. One important component is the compensation a pharmacy receives from a pharmacy benefit manager (PBM) for dispensing a drug to a patient, typically reimbursement for the cost of the medication...

Keep Reading

Resources on Mail Service Pharmacy

There is no excerpt because this is a protected post.

Keep Reading

Pharmacy Benefit Managers Stand with Rx Supply Chain to Help Patients Access Medications

(Washington, D.C.) — As the nation’s health care system confronts the myriad of challenges brought on by the COVID-19 pandemic, pharmacy benefit managers (PBMs) are working with all members of the prescription drug supply and payment chain to help patients obtain the medications they need during this public health crisis, the Pharmaceutical Care Management Association...

Keep Reading

Pharmacy Networks

Keep Reading

New Report: Using Pharmacy Networks in Medicaid Could Save New York an Additional $3.7 Billion

  A new report estimates that leveraging additional pharmacy benefit management tools—including greater use of pharmacy networks—could save New York’s Medicaid program $3.7 billion without reducing access or the quality of benefits patients receive, the Pharmaceutical Care Management Association (PCMA) said today. In 2011, Governor Andrew Cuomo took a step in the right direction by...

Keep Reading

Savings Generated by New York’s Medicaid Pharmacy Reform

Executive Summary Medicaid is one of the nation’s few remaining programs in which public agencies still use a fee-for-service (FFS) model to deliver pharmacy benefits. In this FFS model, care coordination and benefits management are typically limited and pharmacy reimbursement rates are established by government officials in the regulatory and/or legislative arena. Medicare Part D...

Keep Reading

NY Top Drugstore Lobbyist Admits Mail-Service Pharmacy Saves Money…But Pushes Gov. Cuomo to Sign a Bill to Stop Employers From Using It

  (Washington, DC)— An ad campaign launched today by the Pharmaceutical Care Management Association (PCMA) highlights the comments of a top drugstore lobbyist to show that Assembly Bill 5502-B would raise the cost of prescription medications for consumers and payers in New York. The bill is currently awaiting transmission to Governor Andrew Cuomo for signature...

Keep Reading

FTC to New York: Anti-Mail-Service Pharmacy Bill Would Hurt Consumers, Likely Raise Prices and Reduce Access to Prescription Drugs

  (Washington, DC)— In a letter to New York State Senator James Seward, the Federal Trade Commission (FTC) warned that Assembly Bill 5502-B, which would restrict employers’ ability to save money by offering lower cost home delivery options for chronic medications, would have the “unintended consequence of harming consumers” and would likely “raise prices for,...

Keep Reading

PCMA: California Medicaid Could Save $2 Billion, Avoid Drugstore Litigation by Modernizing Medicaid Pharmacy

  (Washington, DC)— Pharmaceutical Care Management Association (PCMA) President and CEO Mark Merritt released the following statement today on a new lawsuit by several drugstore lobbying groups to prevent the California Medicaid program from reducing pharmacy payments: “California could have sidestepped this litigation and reduced more than $2 billion in wasteful spending by following Governor...

Keep Reading