November 21, 2016
An analysis from Visante quantifying how PBMs generate $6 in savings for each $1 spent on their services. Major Findings...
Drug benefit plans typically require a patient to pay a certain amount out-of-pocket for their prescription drugs. Cost-sharing options can include copayments, coinsurance, deductibles, or a combination of these. Most drug benefit plans classify drugs on their formularies into groups called “tiers” and establish different levels of cost-sharing for each tier. Lower tiers may have a fixed dollar copayment, but higher tiers increasingly use a percentage of drug cost to determine a patient’s cost share. Since there are often many drugs in a particular class or category of medicines, signaling the cost of specific drugs through patient cost-sharing is an essential tool for keeping drugs affordable.
February 08, 2017
(Washington, D.C.) — As part of its DrugBenefitSolutions.com campaign, the Pharmaceutical Care Management Association (PCMA) today released a new video,...
September 21, 2016
(Washington, D.C.) —Pharmaceutical Care Management Association (PCMA) President and CEO Mark Merritt issued the following statement on today’s House Committee...
October 06, 2014
(Washington, D.C.)—A new survey conducted by Hart Research Associates on behalf of the Pharmaceutical Care Management Association (PCMA) shows...
June 01, 2014
Journal of Managed Care & Specialty Pharmacy — Objective: To (a) characterize medication utilization patterns of varenicline among Medicare members...
What is a specialty pharmacy network?
To maximize the patient benefit of drug treatments, preferred specialty pharmacy networks are used to deliver high-quality, accessible pharmacy services.
What is a PBM?
These drugs are best defined by the full range of each product's attributes, rather than solely by cost and route of administration.
What tools do PBMs use?
The total costs and utilization of specialty drugs will have a substantial impact on overall health care costs during the next decade.
How can preferred networks provide savings?
Consumers have many pharmacy choices according to data from the CMS National Provider Identifier (NPI) Registry.