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Pharmacy Contracting & Reimbursement

PBMs contract with pharmacies on behalf of health plans and employers to serve patients by building networks of preferred pharmacies. As part of the negotiations to become a preferred network provider, pharmacies and PBMs negotiate contract types, payment rates for
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Drug Cost Management

The management of high cost drugs is receiving increased attention from patients, providers, payers, and policymakers due to ongoing drug price increases and the aggregate impact on health care costs. PBMs are responsible for creating novel solutions to improve the quality
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FEHB Program

The Federal Employees Health Benefits (FEHB) Program is the employer-sponsored federal group health insurance program that covers over 9 million federal civilian employees, retirees, former employees, and their families. The FEHB Program is voluntary and is financed through employee and
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TRICARE

TRICARE is the health care program for uniformed service members and their families around the world. This includes active duty and retired members of the: U.S. Army, U.S. Air Force, U.S. Navy, U.S. Marine Corps, U.S. Coast Guard, the Commissioned
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Medicaid

Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal
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Policies To Reduce Prescription Drug Costs in 2021

The Pharmaceutical Care Management Association (PCMA) is the national association representing America's pharmacy benefit managers (PBMs). PBMs administer prescription drug plans for more than 266 million Americans who have health coverage from a variety of sponsors. PCMA continues to lead
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COVID-19: How PBMs Are Helping Patients and Health Plans

COVID-19: Principles on Patient Access to Prescription Drugs During this public health emergency, PBMs are committed to helping the patients we serve practice social distancing and stay at home safely with convenient, reliable access to their needed prescription drugs. As
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Repeal Rule

Thank You for Protecting My Medicare Premiums Medicare beneficiaries appreciate the Biden Administration’s decision to delay the prescription drug rebate rule. Government studies show the rule would: Increase Medicare Part D premiums 25% Cost taxpayers $170 billion We urge Congress
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Repeal Rule

Thank You for Protecting My Medicare Premiums Medicare beneficiaries appreciate the Biden Administration’s decision to delay the prescription drug rebate rule. Government studies show the rule would: Increase Medicare Part D premiums 25% Cost taxpayers $170 billion We urge Congress
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Annual Meeting 2018

The PCMA Annual Meeting is the industry's premier executive conference. The event is tailored specifically for senior executives from PBMs and their affiliated business partners - most notable drug manufacturers. We've designed the Annual Meeting to be an important part of
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