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Pharmacy benefit managers (PBMs) are in the crosshairs of Republicans and Democrats in Congress but have so far dodged any new litigation or reforms that had been targeted for inclusion in last ...
For example, the replication of a HOPE-like program in Delaware quickly encountered a series of unanticipated problems: too many offenders failed urine tests, too rapidly; there was strain on personnel who had to transport those failing drug tests immediately to facilities located one to two-and-a-half hours away; there was a legal requirement ...
PBMs are designed to aggregate the collective buying power of enrollees through their client health plans, enabling plan sponsors and individuals to obtain lower prices for their prescription drugs. PBMs negotiate price discounts from retail pharmacies, rebates from pharmaceutical manufacturers, and mail-service pharmacies which home-deliver ...
The FTC released a 60-page report Tuesday targeting the biggest three pharmacy benefit managers, claiming the companies hiked the prices of specialty drugs to generate $7.3 billion in revenue from ...
Overall, it is estimated that the current adult drug court treatment program produces about $2.21 in benefit for every $1 in costs, for a net benefit to society of about $624 million. Studies have shown that 1.5 million arrestees who are probably guilty (the population most likely to participate in court-monitored substance use disorder ...
PBMs are making matters worse by sending notices to patients that their pharmacies are out of network well before the deadline to rectify the issue — at day 45 out of the 90-day period, for example.