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Journal of Managed Care Pharmacy recognizes Prime Therapeutics with two 2012 JMCP Award for Excellence Honorable Mentions
Date:5/7/2013

ST. PAUL, Minn., May 7, 2013 /PRNewswire/ -- Prime Therapeutics (Prime), a leading pharmacy benefit manager (PBM), announced today that it has been awarded two Honorable Mentions in the 2012 Award for Excellence from the Journal of Managed Care Pharmacy (JMCP).

One study examined the impact of generic drug discount programs on levothyroxine (a drug to treat low thyroid) pharmacy claims data. A second study reviewed members' medication use following the implementation of a rosiglitazone (a type 2 diabetes drug) safety prior authorization (PA) policy.

Pharmacies' Generic Drug Discount Programs - Potential Impact on PBM Claims Capture

Generic drug discount programs were popularized in 2006 when pharmacies such as Walmart began offering medications for as low as $4. While the programs reduce the cost of medicine for consumers, they may also reduce a PBM's ability to capture claims data, negatively impacting the ability to provide clinical programs and adherence reporting.

Prime compared claims from 3.5 million commercially insured members filling a levothyroxine prescription between January 1, 2006, and December 31, 2010. Researchers found an equivalent number of patients who did not continue a drug purchased at a non-membership pharmacy discount program, compared to a control group. On the other hand, those purchasing a generic through a membership program pharmacy appeared to have a small but statistically significantly higher rate of members who did not continue the drug.

"Although generic drug discount programs have been prevalent since 2008, it is a common concern that PBM and health plan prescription information is incomplete due to an unknown proportion of generic drug claims that are not submitted," said Patrick Gleason , PharmD, BCPS, FCCP and lead author and director of health outcomes for Pri
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SOURCE Prime Therapeutics
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