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Formulary Exclusions May Be Yesterday's News
HealthLeaders InterStudy
Mar. 11, 2015 "[P]harmacy benefit managers and health plans appear to be turning their attention to contracts that put drug companies on the hook for reimbursing payers if those high-priced drugs do not live up to their promised results. In fact, one senior official of a national PBM ... [said] that the PBM would rather not exclude a drug from coverage ever again, preferring instead to pursue outcomes-based or other contracting terms that would bring payers some form of predictability in their drug costs." MORE >> |
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