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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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The Hill’s Top Lobbyists 2021

Street played an outsized role in this year’s policy debates, working behind the scenes to reshape the COVID-19 relief package, bipartisan infrastructure bill and Democrats’ climate and social spending plan.

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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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Final design

PBMs: Committed to Helping Patients The Critical Path Forward: Rx Policies to Reduce Patient Costs, Improve Access For America’s pharmacy benefit managers, PBMs, our core mission is to increase access to affordable prescription drugs for all Americans. But more can

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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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