Tag Archives: PBM

Will Diplomat Pharmacy Survive?

Diplomat found that competing successfully with large specialty pharmacies owned by Cigna/ESI, CVS Health/Caremark and UnitedHealth/OptumRx has been more difficult than projected

What’s Next for Diplomat Pharmacy After Poor Results in Q2 2019?

Diplomat’s core specialty pharmacy performance is being negatively impacted by increased competition

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 […]

Diplomat Looking to Improve CastiaRx’s Performance

Diplomat has realized it needs to accelerate the implementation of its new payer sales strategy for CastiaRx

Employers Use of Copay Accumulator Programs is Growing

man looking at virtual customers

Walmart and Home Depot, two of the top 10 U.S. employers, are using copay accumulator programs