Prescription Drug Costs and the Role of Pharmacy Benefit ...
Prescription Drug Costs and the Role of Pharmacy Benefit Managers
Wyoming Joint Labor, Health & Social Services Committee
June 11, 2021
LuGina Mendez-Harper, RPh, PharmD Pharmacist, Government Affairs Principal
6810 ? Prime Therapeutics | Confidential
Joint Labor, Health & Social Services Committee Meeting
Costs of Health Care ? Part II Prescription Drug Costs and Role of PBMs
? Prescription Drug Costs ? Role of Pharmacy Benefit Managers ? Wyoming PBM Regulation and Oversight ? Arkansas Act 900 ? Key Take-Aways About PBMs
6810 ? Prime Therapeutics | Confidential
Prescription Medicines
Consumers
? Need access to safe, effective medicines ? Need reliable access to affordable medicines ? Need to avoid adverse drug-to-drug interactions ? Need to know how to use their prescription drug benefit
More than 266 Million Americans rely on PBMs to help meet these needs
? 85% Rx Use
? 15% Rx Cost
Generic Medicines
? 12% Rx Use
? 35% Rx Cost
Brand-Name Medicines
? 3% Rx Use
? 50% Rx Cost
Specialty Medicines
6810 ? Prime Therapeutics | Confidential
Drug Supply Chain
How Prescription Medicines Get to Patients
6810 ? Prime Therapeutics | Confidential
4
Drug Supply Chain Complexities
How Medicines Get to Patients
How Medicines Are Paid For (Third-Party)
6810 ? Prime Therapeutics | Confidential
5
What is a PBM?
Payers contract with PBMs to administer the prescription drug portion of the health care benefit
PBMs perform a variety of services to ensure high-quality, cost efficient delivery of prescription drugs to consumers
PBMs work to obtain lower costs for prescription drugs by aggregating buying clout of millions of enrollees
6810 ? Prime Therapeutics | Confidential
6
Who Hires PBMs?
6810 ? Prime Therapeutics | Confidential
7
Pharmacy Benefit Management Services
6810 ? Prime Therapeutics | Confidential
8
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- session 6 evaluating the cost of pharmaceuticals
- how medicare drug plans use pharmacies formularies
- avoiding the pitfalls of pharmacy pricing
- prescription drugs in nursing homes managing costs and
- price a drug health insurance plans aetna
- methodology for calculating the national average drug
- prescription drug costs the role of the pharmacy benefit
- understanding specialty pharmacy management and cost
- prescription drug costs and the role of pharmacy benefit
- f i n a l r e p o r t aha
Related searches
- what is the role of the government
- prescription drug costs lookup
- prescription drug names and generic brand names
- the role of the government
- the role of culture in teaching and learning of english as a foreign language
- the role of the president of us
- the role of the president
- the role of communication in the workplace
- the role of the student
- the role of the title co
- the role of board of directors
- the role of the vice president