Category Archives: Pharmacy Benefit Managers

EnvisionRxOptions a Large Part of Rite Aid’s New Strategy

Rite Aid has embarked on what it is calling the “Path to the Future” to position the company for years to come. Rite Aid  is taking actions to use its unique capabilities to help payors deliver a high level of care to patients, to re-imagine its front end to offer the selection of products and […]

OptumRx Selected by HealthTrust as Exclusive Pharmacy Services Provider

HealthTrust recently selected OptumRx as its exclusive pharmacy care services partner for its member organizations. OptumRx and HealthTrust, through its CoreTrust division, will partner to deliver transparent pharmacy benefit solutions intended to support better health outcomes, improved consumer experiences and lower costs. OptumRx will provide custom programs, tools and mobile technology that will improve how […]

Anthem Accelerating IngenioRx Roll-Out

Anthem, Inc. established a new pharmacy benefits manager called IngenioRx in October 2017 and entered into a five-year agreement with CVS Health’s Caremark subsidiary to begin offering PBM solutions. In January 2019, Anthem terminated the Express Scripts PBM Agreement earlier than the original expiration date of December 31, 2019 due to the recent acquisition of […]

States Begin to Take Action Against Copay Accumulator Programs

The CMS recently finalized a rule that would allow health insurers to implement copay accumulator programs to prevent drug manufacturer coupons from applying to a patient’s annual limit on out-of-pocket costs in situations where a generic drug is available. The copay “accumulator” program tracks employee use of a copay coupon and ensures the money does […]

Centene Begins Leveraging RxAdvance’s More Transparent PBM in Mississippi

Centene is leveraging its investment in RxAdvance to develop a more transparent PBM through Envolve Pharmacy Solutions

UnitedHealth Group Building Pharmacy Business Through OptumRx

OptumRx acquired two pharmaceutical companies in the third quarter of 2018: Genoa Healthcare and Avella Specialty Pharmacy. Listen closely and you can hear Amazon’s footprints as the reason for these acquisitions. Amazon’s recent acquisition of PillPack has accelerated merger and consolidation activities among insurers and pharmacies. UnitedHealth Group is following the strategy seen earlier this year […]

Dr. Vogenberg on Regulatory and Legislative Changes Effect on Healthcare, P&T Committees

AMI founding partner Dr. Randy Vogenberg recently co-authored an article for Pharmacy & Therapeutics (P&T)’s January 2018 issue entitled “Regulatory Change Versus Legislation Impacting Health Care Decisions and Delivery”.  The article explores high-level trends of the Trump administration’s policy, legislative agenda, and regulations, focusing on FDA policies that may affect drug prices and relaxation of the […]