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CVS Health recently announced two new pricing models launching in 2025—CVS CostVantage (Focused on CVS as the Provider) and CVS Caremark TrueCost (Focused on CVS as the Payer)—which are intended to “drive aligned incentives and deliver a more transparent and sustainable reimbursement model” according to CVS Health’s press release. Fein, Ph.D.,
DIR Fees: An Overview DIR fees, or Direct and Indirect Remuneration fees, are fees paid by pharmacies to PBMs. These fees are based on a variety of factors, including performance metrics and drugprices, and are typically calculated retroactively.
Future of Part D As we observe the 20 th anniversary of the Medicare drug benefit, a recent survey shows overwhelming satisfaction with the value of the program among seniors. They have an incentive to keep prices as low as possible. The looming problem is how Medicare will contend with rising drugprices.
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