Tag Archives: pharmacy benefit management

PBM Network Reform Acts Moving Forward in Tennessee and Vermont

The trend of states proposing or enacting legislation to increase PBM transparency is increasing – Tennessee and Vermont

Specialty Pharmacy Drives CVS Health’s First Quarter 2021 Results

CVS Health also has been proactively informing members and patients about the benefits of both the Specialty Connect and Specialty Expedite programs to improve care.

Capital Rx Expands Transparency Model to Specialty and Mail Prescriptions

Capital Rx works to increase cost transparency and consistency for its clients by using the government-maintained National Average Drug Acquisition Cost database, which aims to provide accurate, upfront costs of drugs across pharmacies to health plans

Maxor Specialty Pharmacy Reorganizes

Maxor Specialty Pharmacy has a focus on pulmonary disease

PBM P&T Practices The HEAT Initiative Is Gaining Momentum

Care outside the hospital, like P&T committee responsibilities outside the hospital, is necessarily different. New processes and solutions, such as cloud computing, can help improve performance and transparency of benefit management for purchasers or users of health care services. The current role of PBMs includes concurrent improvement in health outcomes, so the take-home message is […]

Pharmacy Benefit Manager Market Continues to Evolve

Pharmacy Benefit Manager Market Continues to Evolve. Recent consolidation in the pharmacy benefit manager (PBM) industry has resulted in major market share divided by the three market leaders: Express Scripts, CVS Health (Caremark), and OptumRx (UnitedHealth Group). PBMs remain searching for a value proposition beyond drug distribution with their employer clients. As long as PBMs […]