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Recent Health Policy Briefs

Pharmacy Benefit Managers

On behalf of payers, pharmacy benefit managers negotiate rebates from drug makers in exchange for preferred formulary placement.  SEPTEMBER 14, 2017
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Formularies

Formularies are tools used by purchasers to limit drug coverage based on favorable clinical performance and relative cost.  SEPTEMBER 14, 2017
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Patient Financial Support

Manufacturer-sponsored financial support helps patients afford medicines but may thwart payers' efforts to use preferred drugs.  SEPTEMBER 14, 2017
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The 340B Drug Discount Program

The 340B drug discount program mandates the sale of outpatient prescription drugs to safety-net providers at reduced prices.  SEPTEMBER 14, 2017
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Veterans Health Administration

The Veterans Health Administration can often obtain very favorable prices for drugs and may be a model for Medicare and others.  AUGUST 10, 2017
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Medicaid Best Price

The Medicaid best price policy requires drug manufacturers to give Medicaid programs the best price among nearly all purchasers.  AUGUST 10, 2017
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Medicare Part D

Medicare Part D covers retail prescription drugs for Medicare beneficiaries through unique, stand-alone drug insurance plans.  AUGUST 10, 2017
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Medicare Part B

The Medicare Part B "buy and bill" payment structure for physician-administered drugs also influences private-sector prices.  AUGUST 10, 2017
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