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Latest Medicare Part D Stories

2014-10-01 08:30:55

New Preferred Pharmacy Network to Offer Seniors $0 and $1 Copayments on Tier 1 Generics ST. LOUIS, Oct. 1, 2014 /PRNewswire/ -- Express Scripts (NASDAQ: ESRX) today announced that its two nationally available 2015 Express Scripts Medicare(®) Prescription Drug Plans (PDP) will offer a preferred retail pharmacy network featuring Walgreens (NYSE: WAG) (NASDAQ: WAG), helping America's seniors obtain more value, choice and clinical support for their Medicare dollars....

2014-09-29 16:25:29

This Battle Must be Won at the Pharmacy Counter WASHINGTON, Sept. 29, 2014 /PRNewswire-USNewswire/ -- Pharmaceutical Care Management Association (PCMA) President and CEO Mark Merritt today outlined policy solutions that could reduce prescription fraud and abuse in Medicare Part D at a Capitol Hill briefing, "Prescription Opioid Abuse: Fighting Back on Many Fronts," sponsored by the Alliance for Health Reform and PCMA. The briefing featured several government and industry experts...

2014-09-19 23:00:36

Suppliers are Prohibited From Using “Kickbacks” to Increase Sales in Federal Programs (Washington, DC) (PRWEB) September 19, 2014 “Copay coupons,” a drug manufacturer marketing tactic often used to inflate sales of brand drugs among patients with prescription drug coverage, may now be infiltrating Medicare Part D, according to a new report from the Department of Health and Human Services Office of the Inspector General (OIG). Federal anti-kickback laws prohibit suppliers from...

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...


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