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  • Jan 13, 2020
    The U.S. Supreme Court has agreed to hear Rutledge v. PCMA, a case which seeks to reinstate an Arkansas law that regulates pharmacy benefit managers (PBM). The PBM's trade group, Pharmaceutical Care Management Association (PCMA), successfully challenged the law on Employee Retirement Income Security Act (ERISA) preemption grounds in the Eighth Circuit.
  • Jan 02, 2020
    In the Administration and in Congress, significant energy was spent working toward solutions to the high costs of prescription drugs which kept a growing focus on the PBM role in rising costs through Part D DIR charges and Medicaid managed care spread pricing.
  • Dec 23, 2019
    Starting in January with California announcing it would carve out its Medicaid prescription program from their Medicaid managed care program, more states acted throughout 2019 to address MCO PBM abuses that affect patients, taxpayers and pharmacy providers. In May, North Dakota also carved out its Medicaid prescription benefit back into its fee for service program with a budgeted net savings.

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