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November 13, 2012
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News for the PBM Industry

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  Legislative & Regulatory News 
  • ACA could still face legal challenges
    Legal challenges still have potential to undermine the Affordable Care Act, experts say. Lawsuits working their way through the courts address subsidies to buy health insurance on federally run exchanges, put forth new objections to the law's mandates and allege that the ACA is in essence a tax law that should have originated in the House. Politico (Washington, D.C.) (11/13) LinkedInFacebookTwitterEmail this Story
  • Employers encourage workers to help control health care costs
    More employers are asking employees to take responsibility for health care costs by providing lump sums for employees to purchase their own health insurance, offering wellness plans or encouraging employees to seek bargains. More employers plan to offer high-deductible insurance plans coupled with health savings accounts or reimbursement arrangements, a Towers Watson survey found. The Wall Street Journal (11/11) LinkedInFacebookTwitterEmail this Story
  Drug Industry Spotlight 
  • Sanofi encounters resistance, lowers price for cancer drug
    Sanofi announced it would offer a 50% discount to doctors and hospitals on cancer drug Zaltrap after three doctors from Memorial Sloan-Kettering Cancer Center publicized the health system's refusal to prescribe the drug because it was too expensive and no more effective than similar drugs. Patient copayments and Medicare reimbursement will be based on the higher list price in the short term. The New York Times (tiered subscription model) (11/8) LinkedInFacebookTwitterEmail this Story
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Charles Cote
Assistant Vice President, Strategic Communications
(202) 207-3610

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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 210 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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