Rite Aid acquires PBM for $2 billion

Posted Feb. 11, 2015

By Michael Johnsen - Published in Drug Store News (edited)

 

CAMP HILL, Pa. — Rite Aid is set to acquire the leading independent pharmacy benefit manager Envision Pharmaceutical in a deal valued at $2 billion, the retailer announced Wednesday. 

 

EnvisionRx provides both EnvisionRx and MedTrak PBMs. The company also offers a national Medicare Part D prescription drug plan through Envision Insurance Company’s EnvisionRx Plus product offering. 

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CMS / Aetna-Coventry Part D Update

Posted Feb. 4, 2015

 

NCPA had a call with CMS this afternoon and we have some developments to report.  In summary, CMS conveyed or confirmed the following information:

 

1)      CMS has issued a Corrective Action Plan (CAP) request to Aetna specifying that Aetna did not meet the Any Willing Pharmacy provisions for 2015 Part D basic plans and  that Aetna must reach out to pharmacies to offer standard terms & conditions to see if they want to participate in any networks they were not included in via the “bid” process from last year.  The CAP includes specific issues that Aetna must address.  CMS has not currently imposed sanctions, only a CAP at this point, but CMS reserved the right to take further action at a later date.

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Sections of a recent letter entitled Not Crying Wolf This Time

by Douglas Hoey, CEO of NCPA offer information on preparing for pay for services.

Posted Feb. 3, 2015

 

For decades, pharmacy students and pharmacists have been assured that they will be paid for services. And, for decades that's been mostly like the boy who cried wolf. Despite dozens of studies plus good old common sense indicating that pharmacists save health care dollars and improve quality of life, the closest the vast majority of pharmacists have come to direct payment for non-dispensing services is from MTM in the Medicare Part D program. But there were some big developments this week that are finally going to make all of those past false alarms a reality—whether we like it or not.

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From NCPA – Congress Needs to Hear From Seniors (edited)

Posted Jan. 28, 2015

In a recent letter, Douglas Hoey, CEO of NCPA made relevant observations and suggestions regarding coverage for seniors.

 

“What's to say that this year's still unsettled Aetna/Coventry Part D snafu won't be repeated in the 2016 plan year? What assurances should patients have that the Medicare Plan Finder, the government's plan cost and pharmacy access comparison tool, contains accurate information? Should patients—and the Centers for Medicare & Medicaid Services—just assume that plan sponsors or PBMs aren't knowingly trying to rig the system?

 

Congress created Medicare Part D a decade ago, and now is a good time for it to ask some specific questions and examine if this public-private partnership is operating at maximum efficiency or if it could do even more for seniors. It's at the micro level where the impact is felt from situations like the one involving Aetna.

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