PCMA: PBM tools reduce Rx costs, no evidence drugmakers will lower prices | PCMA news release: Eliminating drugmaker rebates leads to significantly higher Medicare Part D premiums for seniors | PCMA ad: "Just cut the price"
July 17, 2018
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PCMA: PBM tools reduce Rx costs, no evidence drugmakers will lower prices
Rebates negotiated by pharmacy benefit managers have saved billions of dollars for Medicare Part D, and absolutely no evidence supports claims that drugmakers will cut prices if rebates are outlawed, Pharmaceutical Care Management Association President and CEO Mark Merritt said. "Simply eliminating plans' ability to negotiate such price concessions would enrich drugmakers at the expense of patients, who'd face higher premiums and out-of-pocket costs." Drugmakers' high list prices are offset by rebates negotiated by pharmacy benefit managers, which saved Medicare Part D subscribers $34.9 billion in premiums from 2014 to 2018.
Politico Pro (subscription required) (7/22),  STAT (tiered subscription model) (7/16),  CQ (subscription required) (7/17),  BioCentury (7/16),  The Pink Sheet (subscription required) (7/16) 
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PCMA ad: "Just cut the price"
PCMA ad: "Just cut the price"
America's pharmacy benefit managers (PBMs) agree with the administration and patients. The most direct way to reduce costs and improve access to prescription drugs is for drugmakers to cut their prices. See PCMA's ad.
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Legislative & Regulatory News
Senator tells Pfizer CEO to stop "playing games"
Sen. Tammy Baldwin, D-Wis., said Pfizer should permanently reduce prices and not merely delay price increases that the company had begun to implement before rolling them back. Pfizer should stop "playing games" with drug prices and "make a firm and clear commitment" to reducing prices, Baldwin wrote in a letter to Pfizer CEO Ian Read.
The Hill (7/16) 
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Lawmaker explores options to resume ACA risk adjustment payments
House Ways and Means Committee Chairman Kevin Brady, R-Texas, said he is talking with HHS Secretary Alex Azar about how to resume Affordable Care Act risk adjustment payments after the administration suspended them earlier this month. House lawmakers intend to consider a number of health care bills next week, including legislation to expand health savings accounts and postpone or repeal certain Affordable Care Act taxes, but Brady said he's not sure if a risk adjustment fix will be among the measures.
The Hill (7/16) 
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Drug Industry Spotlight
Mylan might start price war on multiple sclerosis drug
Mylan significantly reduced the price on its generic version of Teva's Copaxone, and some customers are asking Teva to reduce its price accordingly, says Bernstein analyst Ronny Gal.
FiercePharma (7/17) 
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In whatever state of knowledge we may conceive man to be placed, his progress towards a yet higher state need never fear a check, but must continue till the last existence of society.
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About PCMA
PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 266 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. PCMA is dedicated to enhancing the proven tools and techniques pioneered by PBMs that generate savings and access for consumers and payors.

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