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Health Insurance Marketplace (ACA)

July 19, 2016
The Affordable Care Act (ACA) established new Health Insurance Marketplaces, through which individuals and small business can purchase health coverage. No matter which state an individual lives in, all Marketplace health plan options must offer patients ten standardized categories of benefits — referred to as Essential Health
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Medicare Part D

July 19, 2016
Created by the Medicare Modernization Act of 2003, Medicare Part D provides a prescription drug benefit to Medicare enrollees. The Part D benefit is administered by private stand-alone drug plans and Medicare Advantage drug plans. Over the last decade, market-based
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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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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
Read More »

PBMs: Committed to Helping Patients

November 11, 2021

PBMs: Committed to Helping Patients The Critical Path Forward: Rx Policies to Reduce Patient Costs, Improve Access For America’s pharmacy benefit managers, PBMs, our core mission is to increase access to affordable prescription drugs for all Americans. But more can

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