Drug Channels
APRIL 12, 2023
The top three PBM-owned specialty pharmacies accounted for nearly two-thirds of prescription revenues from pharmacy-dispensed specialty drugs. As predicted last year, Walgreens’ specialty pharmacy business has collapsed, which led to a slightly less concentrated industry.
Proxsys Rx
JANUARY 24, 2025
They also control the formularies for high-cost specialty drugs, often steering patients toward specific drugs and/or pharmacies that maximize their profits rather than focusing on cost-effectiveness or, worse still, patients best interests. Lining their own pockets, while everyone else suffers. Take it or leave it? Not anymore.
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Proxsys Rx
NOVEMBER 15, 2023
Pick a pharmacy mismatched to your hospital’s dispensing patterns, and you could easily end-up spending more in fees for them than they generate for you in 340B savings. Pharmacy fee structures can vary wildly. Negotiated pricing for specialty drugs Fees from specialty pharmacies also vary for 340B prescriptions.
Ramblings of a pharmacist
SEPTEMBER 16, 2024
.” The opportunities to take advantage of your competitors, evade reasonable regulation, and exploit anyone not inside your system are far too numerous and pervasive to continue to allow United Healthcare and OptumRx to own Optum Specialty Pharmacy and Optum Physicians Group, or to allow CVS/Caremark and Aetna to own CVS/Pharmacy.
Drug Channels
FEBRUARY 23, 2021
In this issue: Payers confess: Patients lose from copay accumulators Humana joins the Express Scripts GPO Hospitals vs. PBMs over specialty pharmacy white bagging Let’s all follow the Buy-and-Bill Dollar! Plus, entrepreneurial pharmacy owner Dave Marley demonstrates the power of innovation. Sometimes, the little guy wins big.
Proxsys Rx
FEBRUARY 15, 2024
Pick a pharmacy mismatched to your hospital’s dispensing patterns, and you could easily end-up spending more in fees for them than they generate for you in 340B savings. Pharmacy fee structures, and your resulting 340B contract pharmacy revenue, can vary wildly. Most specialty pharmacies are owned and operated by PBMs.
Ramblings of a pharmacist
APRIL 19, 2022
In his comment, he claimed that the number of independent pharmacies has grown over the past 10 years, and the PBM market is plenty competitive because there are over 70 PBMs! ” I think that getting involved in fights over whose method to count pharmacies is better is silly and pointless. Here’s why.
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