Consultants predict strong health plan enrollment | Senate bill aims to boost access to new antibiotics | Ohio pharmacy owner indicted on health care fraud charges
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December 12, 2014
PCMA SmartBrief
News for the PBM Industry

Featured Story
Consultants predict strong health plan enrollment
More than 9 million people will enroll in a health insurance plan by Feb. 15, when the 2015 Affordable Care Act open enrollment season ends, the Kaiser Family Foundation and Avalere Health predict. Bloomberg (12/12)
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Legislative & Regulatory News
Senate bill aims to boost access to new antibiotics
Legislation to streamline the review of antibiotics was introduced by Sens. Orrin Hatch, R-Utah, and Michael Bennet, D-Colo. The Promise for Antibiotics and Therapeutics for Health Act would allow the FDA to expedite approval of antibacterials for "an identifiable, limited patient population upon determining that the drug treats a serious or life-threatening condition and addresses an unmet need." Regulatory Focus (12/11), Modern Healthcare (subscription required)/Vital Signs Blog (12/11), PharmaTimes (U.K.) (12/11)
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Ohio pharmacy owner indicted on health care fraud charges
Maria Mascio, a pharmacist who owned Family Medical Pharmacy and Vision Systems in Columbus, Ohio, was charged Thursday with one count each of conspiracy to commit health care fraud and operating a health care fraud scheme, along with 37 counts of submitting false health care statements. The Columbus Dispatch (Ohio) (12/12)
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Drug Industry Spotlight
Judge blocks drugmaker's plan to withdraw old drug in favor of new
Actavis may not stop selling its Alzheimer's disease drug Namenda and switch patients to a newer form that has a longer patent, a federal District Court judge ruled. The judge issued a temporary injunction requiring Actavis to continue selling the drug until an antitrust case is decided. The New York Times (tiered subscription model) (12/12)
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Anonymous matchback allows marketers to use prescription records
Third-party firms assign numerical codes to patients' prescription drug records, allowing marketers to tailor ads to users of particular medications. Names are not shared, but some privacy advocates say the system is a breach of confidentiality. Bloomberg Businessweek (12/11)
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The future cannot be predicted, but futures can be invented."
-- Dennis Gabor,
Hungarian-British electrical engineer and physicist
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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 216 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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