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Drug Coverage Mandates

PBMs negotiate rebates from drug manufacturers in exchange for covering their drugs and granting preferred status on formularies. Imposing mandatory drug coverage or limiting cost-sharing requirements for prescription drugs raises premiums and grants drug companies unlimited pricing power. Such mandates
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Medicare Part D 2023 Proposed Rule Could Increase Costs

New Milliman Analysis Shows Medicare Part D Proposed Rule Could Increase Premiums More than It Saves in Cost Sharing for Majority of Beneficiaries (Washington, D.C.) — A new report, “Medicare Part D Pharmacy Price Concessions at the Point of Sale, Potential Impacts

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Final design

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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The Pharmacy Benefit Brief | January 2022

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. WISCONSIN EMPLOYERS ON WHITE BAGGING… Recently, we introduced you to the

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