Quick Summary: A 2015 Arkansas law requires pharmacy benefit managers (PBMs) to …
CMS Finalizes Rule Permitting Copay Accumulator Adjustment Programs in 2021: What Does It Mean?
Quick Summary: CMS finalizes rule allowing plan sponsors to utilize a Copay …
Managed Care Payer Implications Associated with Asset Transfer
Within the pharmaceutical industry, it is common for a manufacturer to sell …
A Closer Look at Executive Order 13939: Lowering Prices for Patients by Eliminating Kickbacks to Middlemen
Quick Summary: Requires HHS to finalize the proposed rebate rule that was …
Proposed Changes to the Medicaid Drug Rebate Program: What Might That Mean for Value-Based Contracts?
Quick Summary: CMS proposes two potential rules for adjusting “best price” determinations …
CMS Launches Model to Lower Out-of-Pocket Expenses for Insulin
Quick Summary: Lowers Medicare beneficiaries’ out-of-pocket costs for a broad set of …
Review of the President’s Executive Order on Access to Affordable Life-saving Medications (EO 13937)
Quick Summary: Requires Federally Qualified Health Centers to provide 340B prices for …
A Closer Look at Executive Order 13938: Increasing Drug Importation to Lower Prices for American Patients
Quick Summary: Requires HHS to provide waivers to individuals to import drugs; …
Hiring a Team vs. Individuals… Advantage Goes to the Team
Your product is nearing (or has already achieved) FDA-approval. During the pre-launch …
Drug Prices in DTC Ads… Helpful or Not?
In May 2018, President Trump and Health and Human Services Secretary Alex …