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Fight for Clarity in Pharmacy Benefit Manager Contracts

The concept of transparency is central to any discussion about pharmacy benefit manager (PBM) contracts. But what exactly does it mean? Over the years, HealthTrust SMEs have had this conversation many times. And while the circumstances vary, understanding the various nuance`s of transparency is absolutely critical to anyone responsiblefor a PBM plan. Critical, but not […]

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Specialty Drugs vs. Non-Specialty Drugs

How do PBMs take advantage of the difference between specialty & non-specialty drugs? Between 1990 and the 2000s, the number of specialty drugs has grown from 30 to over 500. How do PBMs take advantage of the differences between specialty and non-specialty drugs when it comes to pricing?   Specialty and non-specialty drugs differ significantly […]

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Understanding & navigating the PBM market

Pharmacy benefits management can feel like a daunting, unending, winding road of uncertainty. And there are often large discrepancies between the purported outcomes from a pharmacy benefit manager (PBM), and the true value provided. PBMs are third-party administrators of prescription drug programs, who are primarily responsible for processing and paying prescription drug claims. But the […]

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