Tag Archives: Restricted Pharmacy Network

When Walgreens announced that it would not be a part of the Express Scripts (“ESI”) network in 2012, waves of uncertainty reverberated throughout the PBM world.  Would this development help or hurt plan sponsors’ efforts to reduce pharmacy benefit costs?  Would a restricted pharmacy network drive ESI clients away? Will Walgreens take a similar tact […]

Some trends are better than others! Prescription drug benefits are continuously targeted for cost control and improved member satisfaction.  Here are WBC’s (wbcbaltimore.com) top trends that will impact your drug plan management for 2012: Generic Utilization. With a number of blockbuster brands losing their patent protection in 2011 and 2012, the pressure for greater generic fill […]

Six independent pharmacies in Texas have decided to sue CVS Caremark under the Racketeer Influenced and Corrupt Organizations (“RICO”) Act, charging that the company’s Caremark pharmacy benefits management (“PBM”) division engaged in racketeering and violated HIPAA by gaining control over patient data and eliminating competition out of the retail pharmacy market. Pretty heavy stuff when the RICO card gets played! […]

Never let it be said that Walmart doesn’t know marketing. In the aftermath of the CVS/Caremark/Walgreens turf battle, where the question of adequate member access was raised (Networked),  Walmart jumps right back into the frey and releases their low-price network option.  They are referring to it as *Access Based Network Design* and are touting it […]