Pharmacy Benefit News
PRO PHARMA Pharmacy Benefit News is a complimentary publication designed specifically to educate and update our clients and customers on those key issues and concerns having to do with Pharmacy Benefits. Please feel free to explore the issues provided, each link will take you to a different issue.
2011 Pharmacy Benefit News Issues
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Issue #169 - October 27, 2011
AMP is Only the Beginning Specialty Pharmaceuticals: A Hot Commodity? National Take-Back Initiative Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #168 - October 13, 2011
Indian Drugmaker Eyes Partnerships to Expand Its Market Chinese Pricing Plan Threatens PhRMA Profits PhRMA Expands to Third World Countries Specialty Drug Costs: Pharmacy Claims vs. Medical Encounter Welcome to the New and Improved J-Code Calculator™! => Solving Specialty Injectable Pricing Problems -
Issue #167 - September 29, 2011
Drug Inflation – More Than Meets the Eye National Health Spending Expected to Grow 5.8% per Year Through 2020 Pharmacies Identify Problems with PBM Audits MAC Customization and Maintenance -
Issue #166 - September 19, 2011
Medicare Part B Recoupments? Wal-Mart's Preferred Network Models The Percentage of Employers with High Deductible Plans is Increasing Modifiable Risk Factors for Alzheimer's Disease Pro Pharma's Client Portal (One-Stop Shopping!) -
Issue #165 - September 2, 2011
Important Changes and Pending Changes to Drug Cost Databases Oregon Targets Medicaid Dispensing Fee Mistakes in Scientific Studies Surge CMS to Launch Fraud Detection Tool Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #164 - August 18, 2011
New Blood Thinner Approved by FDA and NICE How We Make Decisions: The Case of Avastin An OTC Lipitor? You Don't Know What You Don't Know: Are You Auditing and Screening for These Issues? -
Issue #163 - August 4, 2011
American Pharmacies Group Sues Over Humana-Walmart Part D Network Plan Indiana Independents Block Deep Medicaid Cuts TX Pharmacists vs. CVS Caremark Continues Medicare/Medicaid Managed Care -
Issue #162 - July 21, 2011
Increase in Rate of Inaccurate Claims Payments Among Commercial Health Insurerst How Many Employers Are Expected to Drop Health Coverage In 2014? Interchange Charges Changing Economic Slowdown Has Impacted Consumer Health Care Spending -
Issue #161 - July 8, 2011
Restless Leg Syndrome is About to Become More Prevalent ASH: Hemophilia Clinics Don't Follow Kids' Treatment Guidelines Cancer Incidence Rates by Race Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #160 - June 23, 2011
Top 5 Prescription Therapy Classes 2010 – Trends The Spread (Actual Drug Cost Pass Through) MStudy Results of Interest: Amitriptyline, Duloxetine Equally Effective for Treating Painful Diabetic Neuropathy? Should Aripiprazole Be Used For Maintenance Phase Of Bipolar Disorder? J-CODE CALCULATOR™ Solving Specialty Injectable Pricing Problems -
Issue #159 - June 8, 2011
Health Care Utilization and Costs Vary by Geography How Do You Set Prices of Drugs? Marketing Trumps Evidence Again – Case in Point… Zetia MAC Customization and Maintenance -
Issue #158 - May 31, 2011
Medical Loss Ratios (MLR) -The Debate Prescriptions for Teens, Young Adults on the Rise Pfizer Lets Reps Race With E-Sampling System MEDICARE/MEDICAID MANAGED CARE -
Issue #157 - May 12, 2011
Hospitals Face A Severe Drug Shortage Doctors Who Overwrite for "Dispense as Written" May be Adding $7.7B to Annual Health Care Costs A Study on Mental Illness Introducing Pro Pharma's Newly Expanded and Enhanced… J-CODE CALCULATOR™ Solving Specialty Injectable Pricing Problems -
Issue #156 - April 28, 2011
PBMs and Medical Benefit Drug Management Services 25% of Medicare Beneficiaries Spent 30%+ of Income on Health U.S. Drug Spending 2.3% Growth Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #155 - April 14, 2011
Brand Name Drugs and AWP Inflation Rates May Affect Your Bottom Line What Management Programs Will Plan Sponsors Be Using by 2012? What Are The Top Drivers of Rising Prescription Drug Costs? House Bans Planned Parenthood Funding -
Issue #154 - March 31, 2011
Drug Prices Rise While Calls for Cuts Ignored Trends in Prescription Drug Prices Medco and CalPERS Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #153 - March 17, 2011
Brand Name Drugs and AWP Inflation Rates May Affect Your Bottom Line What Management Programs Will Plan Sponsors Be Using by 2012? What Are The Top Drivers of Rising Prescription Drug Costs? House Bans Planned Parenthood Funding -
Issue #152 - March 3, 2011
California Medi-Cal Proposes Cost-Plus As the Basis for Rx Payments New Immunization Recommendations Check Your Pharmacy Invoice Like You Check Your Supply Invoices Restricted Pharmacy Networks -
Issue #151 - February 17, 2011
Coal/Energy Coalition Produces Better Trend and Quality Results Than Comparable Programs Check Your Pharmacy Invoice Like You Check Your Supply Invoices Pfizer May Have to Allow for Generic HIV Drugs in India Allowed Cost per Claim for IUD Care, Trended to 2010* Antiviral Agents for the Treatment and Chemoprophylaxis of Influenza -
Issue #150 - February 7, 2011
Oregon Implements Actual Acquisition Cost for Medicaid Pharmacy Reimbursement FDA Extends Clopidogrel Bisulfate Patent By Six Months Percentage of the U.S. Population Obese or Overweight J-CODE CALCULATOR™ - Solving Specialty Injectable Pricing Problems ProPublica Publishes PhRMA Gifts to Physicians -
Issue #149 - January 20, 2011
Acetaminophen Limits Set by FDA Insurance Company Provides LIPITOR® and CRESTOR® for Low or No Copay Walgreens Advertising for 90-Day Prescriptions PRO PHARMA's BLOG – Meet the Professor -
Issue #148 - January 6, 2011
Closing the Coverage Gap The Cost of Being Obese in America Diabetes by the Numbers MAC Customization and Maintenance -
Issue #147 - December 16, 2010
Medicare Prescription Drugs – Copayment Amounts, Employer and Part D Propoxyphene Market Withdrawal Agencies Issue Regulations On Preventive Services Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #146 - December 2, 2010
Florida Medicaid Announces New Limits on Certain Controlled Medications New Louisiana Law Makes MTM Services Available to Medicaid Beneficiaries Are Single Source Generics Covered on California MAIC? Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #145 - November 18, 2010
Multaq Moving to Formularies in U.K. & France $4 Co-Pay Commitment Program for Effexor XR Patients Eisai to Cut Aricept Costs With Move to India PRO PHARMA's BLOG – Meet the Professor -
Issue #144 - November 4, 2010
Pharma Not at Fault for Canada's Health Costs FDA Launches Safety Review of ARBs Wal-Mart, Humana Offer Low-Cost Drug Plan to Take Rivals' Sales CMS Proposes Withdrawal Of Controversial AMP Rule J-Code Calculator™ - Solving Specialty Injectable Pricing Problems -
Issue #143 - October 21,, 2010
European Medicines Agency (EMA) Pulls Avandia; FDA Restricts Use Passive Mail Order by Express Scripts FDA Approves Beyaz Tablets Pro Pharma's Client Portal - One-Stop Shopping! -
Issue #142 - September 24, 2010
New AARP Report Finds Retail Drug Prices Jump 8.3% CMS Approves Alabama's Cost-Plus Plan PRO PHARMA's BLOG – Meet the Professor CMS Proposes Withdrawal Of Controversial AMP Rule Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #141 - September 24, 2010
Medicare Part D Prescription Claims and Invalid Prescriber Identifiers Actos and Avandia May Pose Similar Cardiovascular (CV) Risk Estimated Range of Healthcare System Waste is $600-$850 Billion Annually PRO PHARMA's BLOG – Meet the Professor -
Issue #140 - September 9, 2010
European Union Trade Group Sets Limits to Free Samples Lilly Signs Exclusive Insulin Deal with Walmart Cost Per Claim of Prescription Drugs 14% Higher in North Carolina Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #139 - August 26, 2010
Top List of Meds Ordered From Canada Preventive Care C2010 Flu Vaccine Shipments Are Early J-Code Calculator™ - Solving specialty injectable pricing problems -
Issue #138 - August 12, 2010
Hypertension: Average US Professional Charges 2005-2007 Aerobid Back Orders The Search For Generic Drugs Is On For All Smartphone Users Pro Pharma's Clent Portal -- One-Stop Shopping! -
Issue #137 - July 29, 2010
New MTM Bill NICE Denies Tarceva for Lung Cancer, Tykerb for Breast Cancer, and Avastin for Metastatic Breast Cancer What is the Meaning of the Avandia Vote? Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #136 - July 15, 2010
Express Scripts: Carelessness Leads to Pharmacy-Related Wasteful Spending Third Party Payers Rejecting Claims for Unapproved Morphine Sulfate Oral Solution Check Your Pharmacy Invoice Like You Check Your Supply Invoices Germany to cut $2.7B from Pharma Spending -
Issue #135 - July 1, 2010
First-Time Generics Some Part D Plans Gaming Prompt Pay? Pro Pharma's Client Portal - One-Stop Shopping -
Issue #134 - June 17, 2010
Walgreens vs. CVS/Caremark Aerobid Back Order Issue 'Donut Hole' Checks Hit the Mail June 10 "Meet the Professor..." at BlogSpot -
Issue #133 - June 3, 2010
Era of Rapid Growth in Biomedical Research Is Over Solutions for Long Term Care and Retail Pharmacies Eisai Cuts Aricept Prices to Foster Asian Sales Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #132 - May 20, 2010
Medco Enters the UK More than Half of Diabetics Skip Insulin Injections Norway Conquers Infections by Cutting Use of Antibiotics Are You Over Spending on Pharmacy Benefit Costs? Want to Keep Drug Trend at Single Digit or Less? -
Issue #131 - May 5, 2010
Average Pricing Contract Language Vision of EMRs Doesn’t Always Equal Experience J-Code Calculator™ - Solving Specialty Injectable Pricing "Meet the Professor..." at BlogSpot -
Issue #130 - April 22, 2010
Total Number RXs/ 1000 Patients, by Payer, First Half 2009 Prompt Pay to Pharmacies is Still an Issue E-Prescribing is Increasing Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #129 - April 8, 2010
First-Time Generics Antidepressants Okayed for Pilot Use Inflated AWPs J-Code Calculator™ - Solving Specialty Injectable Pricing -
Issue #128 - March 25, 2010
Missing NPI Numbers on Part D Claims Walgreen’s Direct to Payer Contracts - Bypasses PBMs Astra Zeneca Moves Into Generics Check Your Pharmacy-Invoice Like You Check Your Supply Invoices -
Issue #127 - March 11, 2010
First-Time Generics AWP Changes Drug Prices Up, Inflation Down "Meet the Professor.." at BlogSpot -
Issue #126 - February 25, 2010
Drugs Losing Patent Protection In 2010 Medication Alert: Tri-Lo Sprintec Usual And Customary (U&C) - Why Should I Pay More Than A Cash Paying Patient? Check Your Pharmacy-Invoice Like You Check Your Supply Invoices -
Issue #125 - February 12, 2010
First-Time Generics Nov and Dec 2009 Health Spending Growth at Historic Low, But Faster than Overall Economy Invalid Physician Identifiers Welcome…Pro Pharma Has a New Web Page! -
Issue #124 - January 19, 2010
ANDA (Abbreviated New Drug Approvals) Generic Drug Approvals MRSA Leads to Worse Outcomes, Staggering Expenses for Surgical Patients Inhaler News Pro Pharma Announces a New Blog – “Meet the Professor...”
2010 Pharmacy Benefit News Issues
2009 Pharmacy Benefit News Issues
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Issue #123 - December 18, 2009
Wholesale Price Increases for Brand-Name Prescription Drugs on the Rise U.S. Healthcare Cost Increase Rebate Benchmarks Check Your Pharmacy-Invoice Like You Check Your Supply Invoices -
Issue #122 - November 19, 2009
Drugs That Lost Patent Protection in November 2009 PBM Goes Direct to Patients at the Doctor's Office Drug Makers Pay Copay Pro Pharma Announces a New Blog – "Ask the Professor" -
Issue #121 - October 21, 2009
Drugs That Lost Patent Protection in October Many Employers Raise Employee Costs for Health Care Benefits Try to Obtain Erythromycin Eye Ointment to Avoid Alternatives, CDC Says Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #120 - September 2, 2009
Drugs That Lost Patent Protection in September Drug Companies Pay Copays Switching Drugs to Brand to Prepare For Generics? Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #119 - August 10, 2009
Average Wholesale Pricing For Workers Comp Drugs Dropped From Part D Formulary 12/31/08 – Part 2 Recession Takes Startling Toll on Patients Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue #118 - July 27, 2009
Blue Book AWP to Change Drugs That Lost Patent Protection in July 2009 Drugs Dropped From Part D Formulary 12/31/08 – Part 1 Check Your Pharmacy Invoice Like You Check Your Supply -
Issue #117 - July 7, 2009
Legal Fight Continues in First Databank AWP Case Medicare Markup for Drugs: 10,000%? Drugs That Lost Patent Protection in June 2009 Switch List Switch ListJCode Calculator™ Solving Specialty Injectable Pricing Problems -
IIssue #116 - June 10, 2009
Benchmarking Pharmacy Benefit Cost (PMPY) Drugs That Lost Patent Protection in May 2009 Us Households Postponed or Cancelled Treatment JCode Calculator™ - Solving Specialty Injectable Pricing Problems Re-designed Pro Pharma Website -
Issue # 115 - May 11, 2009
Drugs That Lost Patent Protection in April - May 2009 Pay-To-Play Deals Increased Patient Involvement JCode Calculator™ - Solving Specialty Injectable Pricing Problem -
Issue # 114 - April 8, 2009
Drugs That Lost Patent Protection in March 2009 Pricing trends AWP litigation JCode x NDC bridge -
Issue # 113 - March 11, 2009
Drugs That Lost Patent Protection in February-March 2009 The gift ban wave More black box warnings Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue # 112 - February 13, 2009
Drugs That Lost Patent Protection in January 2009 Merck Wants to Develop Follow-on Biologics Fewer DTC Drug Ads Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue # 111 - January 15, 2009
Drugs That Lost Patent Protection in January 2009 Generic Drug Sales Are Slowing Lower Copays (NOT = TO) Improved Compliance JCode x NDC Bridge -
Issue # 110 - November 20, 2008
The Most Expensive Drugs Are Getting Even More Expensive Health Care Costs To Rise In 2009 Diabetes Cases Almost Doubles Over 10 Years Check Your Pharmacy Invoice Like You Check Your Supply Invoices JCode x NDC Bridge - Clients Report Saving of Over 40% in Claims Paid -
Issue # 109 - October 27, 2008
Drugs That Lost Patent Protection in October 2008 Boston Terminates Drugs From Canada New CMS E-Prescribing Regulations Could Impact Prescribing Volume Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue # 108 - September 23, 2008
Drugs That Lost Patent Protection in September 2008 House Overrides H. R. 6331 VETO Prescriber Education Moved Ahead Medicare Moves to Limit Costs in Drugs Plans JCode x NDC Bridge - New Fields (ASP, Part B HCPCS Codes, AWP & WAC with Complete Search Capability) and NDC Grouped by Category -
Issue # 107 - September 9, 2008
Drugs That Lost Patent Protection in September 2008 Massachusetts Bill Regulates Pharmaceutical Marketing FDA Approves Only 9 New Medications Are You Overspending On Pharmacy Benefit Costs and Want To Keep Drug Trend At Single Digit Or Less? -
Issue # 106 - August 25, 2008
Drugs That Lost Patent Protection in August 2008 Potential Rx-to-OTC Switches for 2008-2013 Medicaid Cuts - New AWP Discounts Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue # 105 - July 16, 2008
Drugs That Lost Patent Protection in July 2008 Specialty Drugs - Trends and Rebates Generic Drugs At 63% Of Medicare Part D Market vs 50% Less than Three Years Ago Are You Overspending On Pharmacy Benefit Costs & Want to Keep Drug Trend At Single Digit Or Less? -
Issue # 104 - June 17, 2008
Drugs That Lost Patent Protection in June 2008 Lymphoma from Arthritis Drugs? JCode x NDC Bridge (updated AWP, WAC and Part B HCPCS codes) HUMOR... Hemorrhoids to Abs -
Issue # 103 - May 22, 2008
Drugs That Lost Patent Protection in May 2008 Public Citizens Request FDA ban of Ortho Evra Patch JCode x NDC Bridge (40% savings) Prescription Benefit -
Issue # 102 - May 5, 2008
Drugs That Lost Patent Protection in April 2008 Antipsychotics in Kids - New Jersey's Attorney General Takes Action What Are Payers Doing About Zetia and Vytorin? Have You Visited The Pro Pharma Web site Lately? -
Issue # 101 - April 16, 2008
Drugs That Lost Patent Protection in March/ April 2008 Price Increase on Branded Drugs Jcode x NDC Bridge Prescription Benefit Rx PMPY Utilization by Therapy Class: 2000 and 2006 -
Issue # 100 - March 24, 2008
Drugs That Lost Patent Protection in February/March 2008 Cancer Drugs Linked to Heart Failure Tysabri - Liver Injury Check Your Pharmacy Invoice Like You Check Your Supply Invoices -
Issue # 99 - February 21, 2008
Drugs That Lost Patent Protection in February 2008 Duloxetine (Cymbalta) Claims Overestimate Effect On Pain In Depression Ortho Evra Patch - Safety Issues PBM Court Settlement Are You Overspending On Pharmacy Benefit Costs & Want to Keep Drug Trend At Single Digit Or Less? (Part II) -
Issue # 98 - February 4, 2008
Efficacy Questions: Antidepressants of Little Use? Vytorin No Better Than Generic Zocor? Drugs That Lost Patent Protection in January 2008 Who Needs Cholesterol Pills - Very Few? JCode x NDC Bridge -
Issue # 97 - January 10, 2008
Drugs That Lost Patent Protection in December 2007 & January 2008 SAFERx 2007 - Licensing Drug Reps Discontinuing a Blood Pressure Medication Vytorin Study Results Withheld Have You Visited The Pro Pharma Web site Lately?
2008 Pharmacy Benefit News Issues
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