legislative

medicine, pills, PBM

Protecting the pharmacies we trust: It’s time to hold pharmacy benefits managers accountable

Today, we find our pharmacies are under threat due to a variety of factors that require state legislative action to remedy, sooner rather than later. Otherwise, they could be forced to close their doors when they are needed to provide care and medications to their patients, often for less than the cost incurred to do so.

CVS paid itself far more than some major competitors

CVS paid itself far more than some major competitors

CVS used its role as a pharmacy middleman for the Ohio Medicaid program to pay some of its biggest retail competitors far less than it pays its own stores, according to a section in a state report that CVS is fighting in court to keep secret.

Pharmacy Payment Model Needs to be Simplified

Pharmacy Payment Model Needs to be Simplified

Douglas Hoey, CEO of NCPA outlines the need for a simplified payment model for pharmacy and how independent pharmacy is competing to stay profitable and relevant in the face of unclear payment practices.

West Virginia’s System Possible Model for Cheaper Medicaid Drug Prices

West Virginia’s System Possible Model for Cheaper Medicaid Drug Prices

Ohio is struggling to bring transparency to the $2.5 billion its Medicaid system spends through its managed-care plans on prescription drugs each year. As it does that, one of its neighbors decided to take a drastically different path: Cut out the plan managers altogether. West Virginia’s model puts health care outcomes over profits by using the West Virginia University School of Pharmacy to recommend drugs for patients. That saved the state $30 million in one year.

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