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Latest Medicare Part D Stories

2014-09-18 23:11:11

After conducting a 6 month RFP with 25 PBMs competing to win the RFP, the National Prescription Coverage Coalition today announced that its first PBM will be Envision Pharmaceutical Services.The Coalition's executive director also described several of the unique contract terms that will result in dramatically lower prescription coverage costs for all Coalition Members. Morristown, New Jersey (PRWEB) September 18, 2014 The National Prescription Coverage Coalition today announced that...

2014-09-17 23:06:51

Analysts interviewed for the Sept. 12 issue of Atlantic Information Services’s Drug Benefit News agree that despite concerns, the strategy is here to stay. Washington, DC (PRWEB) September 17, 2014 In ongoing coverage of formulary exclusion lists, Atlantic Information Services, Inc.’s Drug Benefit News (DBN) continues to find criticism surrounding the tactic. As first reported in its Aug. 8 issue, CVS Caremark Corp. and Express Scripts Holding Co.’s formulary exclusion lists for...

2014-09-03 23:07:23

Business Process Outsourcing Company Partnering with Sellers Dorsey to Offer Free Webinar (PRWEB) September 03, 2014 TMG Health, the leading national provider of Business Process Outsourcing solutions to the Medicare Advantage, Medicare Part D, and Managed Medicaid markets, announced today that it will host a live, complimentary webinar entitled, “Medicaid Managed Care: Trends & Opportunities” on Wednesday, September 24, 2014, from 1:00 - 2:00 p.m. Eastern Time. The webinar will...

2014-09-02 16:26:02

A "Giveaway to the Drugstore Lobby" is Challenged in Federal Court WASHINGTON, Sept. 2, 2014 /PRNewswire-USNewswire/ -- The Pharmaceutical Care Management Association (PCMA), the national association representing America's pharmacy benefit managers (PBMs), today filed a lawsuit in Iowa federal court challenging a sweeping new Iowa law that restricts tools used by PBMs to lower prescription drug costs for the state's employers and consumers. The law--HF 2297--forces PBMs to overpay for generic...

2014-08-13 23:08:14

The Aug. 8 issue of Atlantic Information Services’s Drug Benefit News (DBN) takes a look at criticism surrounding formulary exclusion lists, which pharmacy benefit managers see as a way to flex their negotiating muscle and control rising drug trend. Washington, DC (PRWEB) August 13, 2014 In a continuing effort to flex their negotiating muscle and control rising drug trend, CVS Caremark Corp. and Express Scripts Holding Co. on Aug. 1 released their respective long-awaited formulary...

2014-08-06 16:28:44

Safe Pharmacies Prevent Fraud and Abuse WASHINGTON, Aug. 6, 2014 /PRNewswire-USNewswire/ -- A new report by the Health and Human Services Office of Inspector General (HHS-OIG), "Part D Beneficiaries With Questionable Utilization Patterns for HIV Drugs," calling for a pharmacy "lock in" program in Medicare Part D would help decrease prescription drug abuse, the Pharmaceutical Care Management Association (PCMA) said today. "This report confirms the value of establishing safe pharmacy...

2014-07-31 16:27:58

Commercial Opportunities and Hurdles Discussed in New Decision Resources Group Executive Briefing BURLINGTON, Mass., July 31, 2014 /PRNewswire/ -- Decision Resources Group's experts are scoping healthcare funding changes brought about by the Affordable Care Act (ACA), which has affected both reimbursement and prescribing of pharmaceutical therapies. The ACA altered how Managed Care Organizations (MCOs) cover beneficiaries through new regulations and expanded access via government-supported...

2014-07-31 12:28:58

As Support for H.R. 4577 Grows, Voters Reject Anti-Patient Scare Tactics ALEXANDRIA, Va., July 31, 2014 /PRNewswire-USNewswire/ -- As members of Congress prepare to see voters during a month-long recess and more lawmakers sign on to cosponsor a bipartisan patient choice proposal, the National Community Pharmacists Association (NCPA) today announced that a nationwide survey found overwhelming support for expanding Medicare seniors' access to discounted or "preferred" copays in...

2014-07-29 12:36:01

WASHINGTON, July 29, 2014 /PRNewswire-USNewswire/ -- New high priced hepatitis C drugs will increase federal spending in Medicare Part D by a projected $2.9 to $5.8 billion next year, according to a new report by the actuarial firm Milliman released today by the Pharmaceutical Care Management Association (PCMA). Milliman projects that average Part D premiums could increase by as much as 8.6 percent in 2015 as a result of high-priced hepatitis C drugs, including Sovaldi and Olysio. The study...

2014-07-23 23:16:18

Drugstore Lobby Bill Guts Discount Pharmacy Networks in Medicare Washington D.C. (PRWEB) July 22, 2014 Legislation backed by the drugstore lobby (H.R. 4577, “Ensuring Seniors Access to Local Pharmacies Act of 2014”) championing so-called “any willing pharmacy” mandates in Medicare Part D would undermine the availability of lower cost preferred pharmacy networks and increase Medicare spending by $21 billion over the next 10 years, according to new research from The Moran Company...


Word of the Day
grass-comber
  • A landsman who is making his first voyage at sea; a novice who enters naval service from rural life.
According to the OED, a grass-comber is also 'a sailor's term for one who has been a farm-labourer.'