Tag Archives: drug spend

Blue Cross Blue Shield Plans Form New Medication Contracting Organization

BlueCross Blue Shield Plans: Access Market Intelligence

Synergie Medication Collective (Synergie) is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans

BCBS Michigan Switches PBM From Express Scripts to OptumRx

Blue Cross Blue Shield of Michigan is largest health insurer in Michigan, serving 4.5 million people here and 1.6 million more in other states

AscellaHealth and BioMatrix Specialty Pharmacy Strengthen Relationship

BioMatrix offers comprehensive, nationwide specialty pharmacy services and digital health technology solutions for patients with chronic, difficult to treat conditions

OptumRx Integration of Diplomat to Add to Growing Specialty Drug Share

OptumRx has been aggressively growing its portfolio of pharmacy care services businesses

Highmark Develops Initiatives to Control Drug Spending

Highmark members will receive hemophilia drugs exclusively from three specialty pharmacies

VA Extending Hepatitis C Therapy

VA Extending Hepatitis C Therapy as its drug spend for the disease increases rapidly. The department last year allocated $696 million for new hepatitis C drugs, accounting for 17 percent of the VA’s total pharmacy budget. In fiscal 2016, which began Oct. 1, 2015, the VA expects to spend about $1 billion on hepatitis C […]

Specialty Drug Spend Under the Medical Benefit

Continuation in rising costs of specialty drugs and maybe accelerate in next 1-2 years: Randy Vogenberg

Specialty Drug Spend Under the Medical Benefit — Biologic, biotechnology based, rare disease or high cost pharmaceuticals—collectively known as specialty drugs—can be covered under the pharmacy benefit, the medical benefit, or both depending on the plan sponsors’ benefit design required of the payor. On average, up to 50% of specialty drugs are covered under the […]