Pharmacy

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  • Early data show public HIX enrollees use more specialty meds

    April 9, 2014

    In a first look at pharmacy trends in public health insurance exchange plans, use of specialty medications was greater among exchange enrollees versus patients enrolled in a commercial health plan, according to new research released by Express Scripts.


  • Choosing the right pharmacy benefits manager for your plan

    April 4, 2014

    Pharmacy benefits are typically the most utilized benefit by plan members and one of the fastest-growing in terms of cost. Consequently, selecting the right pharmacy benefit manager is a critical decision in managing a plan and determining member satisfaction with that plan.


  • 10 drugs to watch

    March 25, 2014

    Overall spending on traditional prescription drugs -- mostly pills used to treat common conditions such as high cholesterol and depression -- will decline 4% by the end of 2015, largely because of the availability of generic medications, according Express Scripts. Here are 10 of the top brand-name drugs that had generic equivalents become available in 2013 or are expected to have generics available this year, courtesy of Express Scripts.


  • Study: Drug copayments and co-insurance fees up under ACA

    February 14, 2014

    Copayments and co-insurance fees have increased on average 34% compared with those of the pre-Affordable Care Act individual insurance market, according to the results of a new HealthPocket study released Thursday.


  • Catholic groups win ruling against ACA's contraception mandate

    December 16, 2013

    A group of Catholic health and educational organizations don’t have to comply with a federal Affordable Care Act requirement to provide their employees with contraception coverage, a federal judge in New York ruled.


  • Obamacare failure could reduce U.S. drug sales by 30%

    November 19, 2013

    Expenditures in the $2.7 trillion U.S. health care system have doubled since 1980, growing to 18% of gross domestic product and leading to financial success for drugmakers, hospitals and insurers.


  • Pharmacy satisfaction gap widens

    October 28, 2013

    Consumers are happier with brick-and-mortar pharmacies than with mail-order.


  • Expert warns ACA has potential to increase health care fraud

    October 24, 2013

    Health care fraud will come at employers at an alarming rate, in part because the Affordable Care Act opens insurance up to millions of people who have little or no experience buying health insurance, says fraud expert Chuck Whitlock.


  • Walgreens teams with GoHealth to simplify exchange information

    October 4, 2013

    Staff at Walgreens stores will direct customers who ask about the exchanges to the GoHealth Marketplace, where they can shop and compare health insurance plans, enroll and find other tools and information.


  • Pharmacy satisfaction gap widens

    September 30, 2013

    Customer satisfaction with traditional brick-and-mortar pharmacies continues to outpace satisfaction with mail-order pharmacies, according to the J.D. Power 2013 U.S. Pharmacy Study.


  • California assembly approves limits on use of ‘biosimilar’ drugs

    August 27, 2013

    The bill passed Monday would require pharmacies to notify doctors and sometimes patients when a cheaper biosimilar drug is substituted for a brand-name medicine. It also would forbid a pharmacist from substituting the biosimilar drug if the physician says no.


  • PBM expert: Don’t look for abuse only based on cost

    August 12, 2013

    Some of the cheapest drugs, he points out, can do the most damage in terms of personnel issues.


  • Opioid painkiller abuse epidemic spurs search for safe drug

    July 9, 2013

    Misuse of drugs like OxyContin is driving up the cost of insurance claims, and abuse of opioids is killing more people than cocaine and heroin combined.


  • Analysis looks at leading causes of medical fraud

    June 12, 2013

    Previous Truven research reported that $125 billion to $175 billion in annual spending in the publicly and privately insured population could be classified as abuse and fraud of the system.


  • Club-drug ketamine relieves depression in largest patient study

    May 23, 2013

    In the trial of 72 people whose depression hadn’t responded to at least two antidepressants, patients taking ketamine were twice as likely to report improvement than those on a placebo.



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