Many Ohioans lack access to prescription medications because insurers and pharmacy benefit managers are increasingly making it more difficult for patients to afford them. High-deductible health plans, copayments, coinsurance, copay accumulators, restrictive formularies, etc. are all tactics used to simply push more of the cost-share onto the patient.

PBM Exclusion Lists: Useful For Leverage But Do They Benefit The Patient?

PBM Exclusion Lists: Useful For Leverage But Do They Benefit The Patient?
May 6, 2020

Joshua Cohen forbes.com In January, the two largest pharmacy benefit managers (PBMs) – Express Scripts and CVS Caremark – increased the numbers of drugs on their 2020 exclusion lists. These lists include drugs that a PBM doesn’t recommend covering. PBMs’ clients – the plan sponsors – can choose not to adopt a formulary with exclusions,…

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With Federal Nod, Consumers Could Lose The Boost They Get From Drug ‘Coupons’

With Federal Nod, Consumers Could Lose The Boost They Get From Drug ‘Coupons’
May 6, 2020

Michelle Andrews khn.org Patients who get financial help from drug companies to cover their copayments for prescription drugs could owe a bigger chunk of their costs under a proposed federal rule. The annual rule, which sets a wide range of standards regarding benefits and payments for most health plans for next year, would allow employers…

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Military-health drug problems getting worse, cancer clinics say

Military-health drug problems getting worse, cancer clinics say
March 19, 2020

Community oncology clinics say that the military health system’s exclusive relationship with a giant corporation increasingly is putting them at a disadvantage. And that disadvantage is putting the health of veterans and members of the active-duty military at risk, the clinics say. The Community Oncology Alliance again wrote to the U.S. Department of Defense last…

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NJ limits Rx Drug Expense

NJ limits Rx Drug Expense
March 19, 2020

Governor Murphy Signs Prescription Drug Bill to Limit Out-of-Pocket Prescription Drug Expenses for New Jersey Families TRENTON – Governor Phil Murphy today signed legislation (A2431) to help limit out-of-pocket prescription drug expenses for New Jersey families. The bill, which requires health insurers to provide plans that limit patient cost-sharing concerning prescription drug coverage, will improve…

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NJ Gov signs Rx drug limit bill

NJ Gov signs Rx drug limit bill
February 28, 2020

Governor Murphy Signs Prescription Drug Bill to Limit Out-of-Pocket Prescription Drug Expenses for New Jersey Families TRENTON – Governor Phil Murphy today signed legislation (A2431) to help limit out-of-pocket prescription drug expenses for New Jersey families. The bill, which requires health insurers to provide plans that limit patient cost-sharing concerning prescription drug coverage, will improve…

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