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All Things Pharmacy
November 19, 2019
Brought to you by PCM

Focus: News
Be in the Know


  • In the last three years there has been a 60% increase in "super spender" patients.

  • A voluntary recall of blood thinner prasugrel cites failure to meet dissolution requirements.

  • The CDC reports finding a strong link in vaping illnesses.

  • Flu season in the United States has officially started.

  • Some common drugs create a false positive on drug tests.


Focus: Analytics
Part 2: What is your pharmacy strategy for 2020?

Last month we gave you two strategies, carefully developed by our pharmacy team, that can help you craft a solid approach to pharmacy benefits. Let’s review:
     -Strategy 1: Monitor NDC Exclusions. Know what NDCs your plan covers and be on the look-out for significant anomalies in prescription prices to ensure you are covering the most cost-effective drugs.
     -Strategy 2: Expect PBM accountability. Periodically compare contracted rebates, dispensing fees, and discounts to actual rates paid in claims to ensure your plan guarantees are being met.

With a solid pharmacy strategy, you can make 2020 the year you control pharmacy spend and put your plan on the path to financial sustainability. This month, we are discussing two more strategies that help you dig into your pharmacy data, start conversations, and impact positive change.


Focus: Savings
Engaging physicians to cut spend

Who is writing high-cost prescriptions?
It's not the health plan, the pharmacy, the PBM, or the pharmaceutical company. It's the physician.
While the process of setting and controlling drug costs is complex, the key to finding measurable, long-term savings is simple. With the right information about true drug costs, cost-effective alternatives, and focus on quality of care, conscientious physicians will make economical prescribing decisions for their patients. Engaging physicians not only combats high drug costs but promotes better health for your participants.


Focus: Health
Diabetes quick facts


Over 30 million people in the United States have diabetes, so it is likely that you know someone

living with this disease. In honor of National Diabetes Month, here are some quick facts about
the three types of diabetes:

  1. Type 1 Diabetes: When your body does not produce insulin, you have type 1 diabetes. This type affects people of every age, race, shape, and size. Type 1 diabetes is managed with insulin therapy and lifestyle changes.

    2. Type 2 Diabetes: The most common type of diabetes, accounting for 90-95% of diabetes cases, type 2 diabetes occurs when the body does not properly process insulin. It is most commonly managed with diet and fitness changes and oral medication.
    3. Gestational Diabetes: With no symptoms or known causes, a diagnosis of gestational diabetes
during pregnancy can be scary, but treatable. Millions of women have healthy pregnancies and
babies by carefully following treatment plans including diet, exercise, and medication.

Diabetes is becoming increasingly prevalent. In the last 20 years, the number of adults with diabetes has more than doubled. If you or a loved one has increased risk factors, seek testing and work on prevention. With proper management, many people with diabetes live their best lives, doing everything they set out to do.


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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