Navigation Links
Medicare Analysis Finds Mail Order Pharmacies Often More Expensive than Community Pharmacies
Date:12/3/2013

ALEXANDRIA, Va., Dec. 3, 2013 /PRNewswire-USNewswire/ -- Mail order pharmacies frequently charge Medicare prescription drug plans (PDPs) more – as much as 83 percent more – than community pharmacies do for filling prescriptions, a new analysis by the U.S. Centers for Medicare & Medicaid Services (CMS) has concluded, calling into question the assumption many health plan sponsors rely on in subsidizing mail order utilization.

(Logo: http://photos.prnewswire.com/prnh/20100106/DC33253LOGO)

CMS, the agency that oversees the Medicare Part D prescription drug benefit, examined millions of claims from March 2012 and found 21 drug plans that routinely paid more for prescriptions filled through the mail compared to a community pharmacy.

"[T]his analysis has shown that negotiated pricing for the top 25 brands and 25 generics combined at mail order pharmacies is higher than at retail pharmacies for selected PDPs," CMS notes in concluding its analysis. "Thus, our hypothesis that mail order negotiated prices are lower than retail pharmacy negotiated prices was not confirmed. Instead, we are finding higher prices at mail order than at retail pharmacies for some PDPs. CMS continues to be concerned about the impact of these prices on the Part D program."

Many PDPs are administered by pharmacy benefit managers (PBMs), which own most mail order pharmacies. PBMs can grow their profits by steering a plan's patients to a PBM's mail order pharmacy, regardless of the patient's preference or whether doing so results in higher costs to the drug plan or the taxpayer-funded Medicare program.

"This analysis should be a wake-up call to any employer, government agency or othe
'/>"/>

SOURCE National Community Pharmacists Association
Copyright©2012 PR Newswire.
All rights reserved

Page: 1 2 3

Related medicine technology :

1. SI-BONE Minimally Invasive Sacroiliac Joint Fusion Could Save Medicare an Estimated $660 Million
2. RealTime Medicare Data Helps Propel Reluctant Change in Healthcare:
3. 2014 Medicare Drug Plans Vary Widely in Availability of Drugs and Restrictions on Their Use
4. PCMA Supports Bipartisan Legislation Creating Safe Pharmacy Networks to Reduce Prescription Drug Abuse in Medicare
5. Blue Cross Blue Shield of Arizona Advantage Adds Scottsdale Healthcare to Medicare Advantage Network
6. Medicare Procurement Program Creates Extreme Hardships For North Carolina Patients, Says AAHomecare
7. Medicare Procurement Program Creates Extreme Hardships for Patients without Options, Says AAHomecare
8. PCMA: Eight Ways to Reduce Federal Health Spending and Improve Prescription Drug Benefits in Medicare and Medicaid
9. New Research Finds Many Seniors Wrongly Think Public Health Insurance Exchanges Are Replacing Medicare Plans
10. Breakthrough AffloVest now reimbursed by Medicare and private health insurance
11. Express Scripts Acquires SmartD Medicare Prescription Drug Plan; Adds to Industry-Leading Medicare Offering
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/15/2014)... Dec. 12, 2014 Research and Markets ... "Inferior Vena Cava (IVC) Filters - Global Trends, ... http://photos.prnewswire.com/prnh/20130307/600769 ... to reach US$435 million by 2016. The ... of the global value while Europe ...
(Date:12/15/2014)... , December 15, 2014 BerGenBio ... for aggressive drug resistant cancers, today announces that it ... private placing from new and existing investors. ... support the development of its pipeline of innovative cancer ... its lead drug candidate, BGB324, a first-in-class selective Axl ...
(Date:12/15/2014)... , Dec. 15, 2014  Inovio Pharmaceuticals, Inc. ... has been added to the NASDAQ Biotechnology Index ... will become effective upon market open on December ... is designed to track the performance of a ... either biotechnology or pharmaceutical according to the Industry ...
Breaking Medicine Technology:Inferior Vena Cava (IVC) Filters - Global Trends, Estimates and Forecasts, 2012-2018 2Inferior Vena Cava (IVC) Filters - Global Trends, Estimates and Forecasts, 2012-2018 3Inferior Vena Cava (IVC) Filters - Global Trends, Estimates and Forecasts, 2012-2018 4BerGenBio Completes NOK90 Million Fundraising 2Inovio Pharmaceuticals Added to NASDAQ Biotechnology Index 2Inovio Pharmaceuticals Added to NASDAQ Biotechnology Index 3Inovio Pharmaceuticals Added to NASDAQ Biotechnology Index 4
... , EXTON, Pa., Nov. 25 BioTrends ... LaunchTrends(TM) : Stelara report, the ... launch of Centocor Ortho-Biotech,s Stelara, from product launch through the ... report provides quantitative information from 75 unique Dermatologists and qualitative ...
... PALM BEACH, Fla., Nov. 25 For many of the millions ... hearing loss , the holidays may not be all that ... of HearUSA (Amex: EAR ), one of America,s largest hearing ... hearing loss to stress, frustration, and social isolation, "which can easily ...
Cached Medicine Technology:Despite Managed Care Obstacles, Interest and Anticipated Use of Centocor Ortho-Biotech's New Psoriasis Agent Stelara (ustekinumab) is High 2For Millions With Untreated Hearing Loss, Holiday Season Can be Especially Difficult 2For Millions With Untreated Hearing Loss, Holiday Season Can be Especially Difficult 3
(Date:12/17/2014)... gas prices rose in recent years, so did motorcyclist ... times of gas increases, more people start using motorcycles ... explained. They examined data gathered between 2002 and ... motorcycle registrations in the United States and the third ... a strong association between rising gas prices and an ...
(Date:12/17/2014)... News) -- Expectant parents should leave prenatal picture-taking to ... Use of ultrasound imaging and heartbeat monitors to ... the agency warns. "Although there is a ... imaging and heartbeat monitors, prudent use of these devices ... an FDA biomedical engineer, said in an agency news ...
(Date:12/17/2014)... (HealthDay News) -- Greater participation in music classes may ... Researchers followed kids in the nonprofit Harmony Project, which ... Los Angeles. Over two years, children who actively ... the brain processes speech and reading, compared to those ... of active participation in music classes occurred in the ...
(Date:12/17/2014)... HealthDay Reporter , TUESDAY, Dec. 16, ... improve overall health, but a growing body of evidence shows ... review finds. In fact, the benefits were similar to ... researcher Paula Chu, a doctoral candidate at Harvard University,s Health ... trials, found that people randomly assigned to take yoga classes ...
(Date:12/15/2014)... (PRWEB) December 15, 2014 A recent ... United States women as impacting skin health and beauty ... C’s of skin care.” Water and health advocate and ... a recent article describing the survey and the Four ... item in every category discussed would benefit from paying ...
Breaking Medicine News(10 mins):Health News:When Gas Prices Go Up, So Do Motorcycle Accidents, Study Finds 2Health News:FDA Warns Against Fetal 'Keepsake' Videos 2Health News:Music Classes Boost Language Skills, Study Says 2Health News:Yoga May Cut Heart Disease Risk Factors 2Health News:Yoga May Cut Heart Disease Risk Factors 3Health News:Water and health advocate Sharon Kleyne adds a “W” for fresh water to “four C’s of skin care” 2Health News:Water and health advocate Sharon Kleyne adds a “W” for fresh water to “four C’s of skin care” 3
... Calif., Oct. 1 , WHAT: Launch ... , Students and public health experts have joined forces with cutting-edge ... ), a new campaign designed to raise awareness of hepatitis B, ... in the United States - many of whom are Asian American. ...
... molecular imaging technique may provide physicians and patients with ... type of cancer of the uterus lining called "endometrial ... research was presented in a study published in the ... . "Endometrial carcinoma is one of the most ...
... infarction state that they were under great stress over ... shown in a unique patient study conducted in cooperation ... and Sahlgrenska University Hospital, Sweden. The study ... . "There appears to be a correlation between stress ...
... Lifeclinic ... of Business Development, has been the company,s top ad revenue-generating executive this year. ... Burtonsville, MD (PRWEB) ... of Retail Operations. McGrath, previously a VP of Business Development, has been the company,s ...
... , MONTREAL, Oct. 1 , Watch4net,s ... conditions are affecting healthcare providers in terms of limited ... IT Operations, Clarian Health. An industry typically marked by ... economic slowdown. Senior level executives are being tasked to ...
... In challenging economic times, many business owners cut back and ... North Dallas area cosmetic surgeon, has watched other cosmetic practices ... to the conclusion that his medical spa and surgery center ... he,s about to open another location in the ,Uptown, Dallas ...
Cached Medicine News:Health News:Asian American Stars to Unite for 'B HERE' Campaign Monday, October 5 2Health News:Molecular imaging holds promise for early intervention in common uterine cancer 2Health News:Molecular imaging holds promise for early intervention in common uterine cancer 3Health News:Severe stress can cause stroke 2Health News:Lifeclinic Promotes McGrath to Executive Vice President of Retail Operations 2Health News:Clarian Health Selects Watch4net for Performance Reporting and Automatic Analysis 2Health News:Beauty and the Economy: Unusual Timing for Dallas Uptown Medi-Spa Launch 2Health News:Beauty and the Economy: Unusual Timing for Dallas Uptown Medi-Spa Launch 3
... Intuition EMR Ophthalmology is a comprehensive ... tailored for ophthalmology practices. Intuition EMR ... but provides the tools to evaluate ... you to make better decisions and ...
... MaximEyes by First Insight is the ... records solution for eye care professionals. ... with Eyefinitys online servicesrequest VSP authorizations, ... MaximEyes offers EMR, scheduling, billing, demographics, ...
... latest in advanced cartridge mixing and delivery ... and mechanically injects all types of bone ... Revolution&trade line-up includes a large selection of ... in difficult to access areas. A new, ...
Simply stated, no bone cement can match the history of Simplex™. Simplex™ is the only cement with 40 years of proven clinical performance - trusted by tens of thousands of surgeons with o...
Medicine Products: