Jan 3, 2023 | Featured, Pharmacy Benefit Managers
By Surabhi Dangi-Garimella, Ph.D. Cigna’s pharmacy benefit manager (PBM), Express Scripts, has introduced network changes that have reduced the number of retail pharmacies within the Department of Defense (DoD)’s TRICARE benefits program by 15,000. Many of these are...
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Sep 26, 2022 | Featured, Pharmacy Benefit Managers
Pharmacy Benefit Managers (PBMs) have become embedded in the ecosystem of drug pricing– but these middlemen are one of the reasons patients see high prices at the pharmacy counter. This episode is a crash course in everything drug pricing with a focus on PBMs, from...
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May 5, 2022 | Featured, Pharmacy Benefit Managers
Pharmacy Benefit Managers (PBMs) are the middlemen who work for insurance companies to determine what drugs are and aren’t covered on an insurance formulary. They are a player in the supply chain between the manufacturers who make the drug and the patients who need...
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May 5, 2022 | Pharmacy Benefit Managers, Public Statement
WASHINGTON — Patients Rising Now Executive Director Terry Wilcox today released the following statement in response to the Senate Subcommittee on Consumer Protection, Product Safety, and Data Security hearing on pharmacy benefit managers: “Each player in the drug...
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Apr 4, 2022 | Featured, Pharmacy Benefit Managers
On this episode of the podcast, Terry and Bob discuss the negative impact that pharmacy benefit managers (PBMs) have on community pharmacies. PBMs are middlemen between drug manufacturers, health insurers, and pharmacies. Through market monopolization and other...
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Feb 22, 2022 | Featured, Pharmacy Benefit Managers
On this episode of the podcast, Terry and Bob explain how chronic disease patients often fall victim to high healthcare costs due to supply chain ‘middlemen’ driving up prices via kickbacks. The two biggest and most inflationary middlemen are known as...
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