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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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Medicaid

July 19, 2016
Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal
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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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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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