Pharmacy Benefit Management

Pharmacy benefit plan design continues to shift, becoming more advanced and putting more choice in the hands of the member.

A recent study produced by Vistane for the Pharmaceutical Care Management Association (PCMA) has found that through greater use of preferred and limited pharmacy networks payers, including Medicare, Medicaid, and employers, could save a combined $115 billion of the next decade.

Greater use of "preferred" and "limited" pharmacy networks could save taxpayers $115 billion over the next 10 years on prescription costs, according to a new study.

The Pharmaceutical Care Management Association (PCMA) says a study it commissioned shows that an expanded use of preferred and limited pharmacy networks could save payers $115 billion over the next 10 years.

CVS Caremark focus on medication adherence saved PBM clients more than $643 million in 2012

Pharmacy benefit management helps individuals with access to drugs and pharmacies

Humana Pharmacy Solutions (HPS), the pharmacy benefits management division of Humana Inc. (NYSE: HUM), topped the Flaspohler Research Group’s study of fellow pharmacy benefit managers in three categories: Effective Technology, Effective Cost-Management Tools, and Relationship Oriented.

In recent months, Pharmacy Benefit Managers (PBMs) have emerged as vocal critics of the drug industry's reliance on copay cards, coupons, and other tools to help patients offset the cost of innovative brand-name medicines.

A white paper from Elsevier

The President and some members of Congress have proposed requiring that prescription drug manufacturers pay rebates to the federal government for drugs dispensed to Medicaid/Medicare dual-eligible beneficiaries and other low-income seniors through the Medicare Part D program.