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All Things Pharmacy
June 5, 2019
Brought to you by PCM
Be in the Know
In addition to long lists of side-effects, TV ads are now required to disclose drug prices over $35.
Forty-four U.S. states are suing 20 drug companies for manipulating prices on more than 100 generic drugs.
One of the most commonly prescribed pain-killers may not actually relieve pain for most patients.
The FDA has issued a recall for blood pressure medication Losartan due to possible carcinogen.
How are your pharmacy dollars being spent?
Everyone is talking about pharmaceutical costs. We all know that prescription drugs are becoming
unaffordable for many patients and plans, and while many programs tout pharmacy savings and
decreased drug spend, it is impossible to cut costs if you don’t know how your money is being
So, how are your pharmacy dollars being spent?
Some pharmacy costs may be summarized in a PBM performance report or brand vs generic spend
percentages, but to really gain visibility into the granular pieces of your drug spend you need to dig
into your data. While each group’s pharmacy claims are unique, most share basic elements that
drive costs: drug claims, participants, pharmacies, PBM contracts and doctors. Here is a look at
how each of those categories impact your total pharmacy spend.
The Need to Monitor Claims
Pharmacy claims changes happen without warning and may go unnoticed for long periods of time,
resulting in increases in total pharmacy spend. Several factors can contribute to these spikes in
cost: a PBM may suddenly increase their AWP on certain drugs, or a participant may receive a new
health diagnosis and begin taking a high-cost brand or specialty drug.
If allowed to go unchecked these increases can compound over time with drastic efforts on overall
Stop playing catch-up once a year at renewal time, and instead catch changes in plan spend as
they occur. Consistent claims monitoring drives better decision-making and puts you back in control
of your claims data.
Alzheimer's: Facts and Prevention
Alzheimer's is a chronic, ongoing condition that gradually causes degeneration in the brain that
is typically found in people over age 65. There is not a cure for Alzheimer's, but prevention and
treatment may slow the progression and may improve quality of life. Doctors suggest that the
following lifestyle improvements may prevent Alzheimer's:
Try cognitive exercises
Eat a plant-based diet
Consume more antioxidants
Maintain an active social life
June is Alzheimer's and brain awareness month. Learn more about the disease, diagnosis and
For over 10 years, Prescription Care Management has been solving complex pharmacy problems
with a client-centric approach. Simply put, we help self-insured organizations see where their
pharmacy dollars are going and cut spend where it counts.
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