A CVS Health and Aetna report outlines strategies insurers and health plan sponsors can adopt to address the costs associated with gene therapies, estimated at $14.8 billion to $45 billion over the next five years, depending on their market impact. Recommendations include relying on centers of excellence, using value-based contracting, testing financial protection programs, turning to specialty pharmacies and offering payment plans to employers.
US Senate Majority Leader Mitch McConnell, R-Ky., has been reluctant to bring legislation aimed at reducing prescription drug prices to the floor for a vote, but that could backfire as the public increasingly is demanding action to lower costs. Democratic strategists have launched an ad campaign attacking Republicans and the Trump administration for opposing a drug pricing bill sponsored by House Speaker Nancy Pelosi, D-Calif., which passed the House.
Litigation filed by Oklahoma Attorney General Mike Hunter alleges that Cardinal Health, AmerisourceBergen and McKesson have brought an excessive supply of opioids into the state, contributing to widespread opioid abuse. The lawsuit, which seeks an unspecified amount of money for past damages, "will show that these companies poured opioids into communities across this state while ignoring red flags and suspicious orders," Hunter said.
Novartis will offer inclisiran, a PCSK9 inhibitor acquired when Novartis bought The Medicines Co., on a "population basis" to patients in the UK who have atherosclerosis after completion of a large clinical trial and regulatory approval.
Endo Pharmaceuticals will pay the state of Oklahoma $8.8 million to resolve allegations that its marketing practices contributed to the opioid epidemic. Most of the money will go to the state's opioid suit settlement fund.
PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 270 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.
Contact PCMA Charles Cote
Vice President, Strategic Communications