SOTU address promises cap on OOP drug cost President Joe Biden’s State of the Union Address Thursday included some sweeping proposals, including extending a $2,000 cap on out-of-pocket drug costs to all Americans. Other proposals included expanding the number of…
Employee sues J&J over PBM costs A Johnson & Johnson employee is suing the company for allegedly violating ERISA by mismanaging prescription drug benefits. The lawsuit accuses the company of paying inflated costs for generic drugs to its PBM, Cigna’s…
GTMRx releases latest CMM evidence document The Get the Medications Right Institute has released its summary of research on comprehensive medication management (CMM). The December 2023 review, “The Outcomes of Implementing and Integrating Comprehensive Medication Management in Team-Based Care: A…
Unions and employers agree on one thing: PBMs Employers and unions are getting fed up with PBMs, arguing that they favor costly over less expensive options, the Wall Street Journal reports. For example, Foot Locker dropped UnitedHealth Group’s OptumRx PBM last year,…
GTMRx Institute joins business and health leaders to call for PBM reform On November 8 the GTMRx Institute joined a coalition of employers, health care providers and patient advocates in urging Congress to support strong PBM reforms this year. In…
Some states establish Rx affordability boards At least seven states have set up prescription-drug affordability boards to lower costs for a potentially broader set of prescription medicines, and more states could follow as some officials have expressed interest in establishing…
AI based "credit score" for drugs draws criticism Narx Scores and similar tools help clinicians review controlled substance prescriptions. They influence the prescribing of painkillers much like a credit score influences the terms of a loan. The use of systems…
Investigation: PBMs divert patient assistance funds A local Ohio TV station conducted an in-depth investigation into how PBMs stand between patients and funds from pharmaceutical companies to help pay for medication. They report on how pharmacy benefit managers and their…
Equitable access to medication optimization is key to improving health outcomes for everyone with ongoing medication needs. Join us for a discussion with public health practitioners providing clinical pharmacy services to communities that are medically underserved. Practice models will be…
Bipartisan efforts seek to rein in PBMs Congress continues to focus on PBMs, crafting several legislative packages that include reforms to make the role of pharmacy benefit managers in drug pricing more transparent and overhaul how PBMs are compensated, and…
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Support the GTMRx Foundation to get the medications right™. A donation from you can help to reduce the 275,000 lives lost and $528 billion wasted each year due to suboptimal medication use. Donations support practice and policy transformations and allows us to provide free resources for our members. We believe everyone deserves access to comprehensive medication management to ensure safe, appropriate and effective medication use. Help us make that happen. Need to be convinced? Watch Brenda's story.
