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PCMA Launches New Pennsylvania Ad Campaign: 'That's What PBMs Do'
Date:2/9/2012

otiate rebates from manufacturers of brand drugs that compete with therapeutically similar brands and generics. Manufacturers typically provide a rebate if their product is "preferred," which means it is assigned a copay lower than competing products.
  • Offering Home Delivery of Medicines: Mail-service and specialty pharmacy channels typically give plan sponsors deeper discounts than do retail pharmacies.  These channels also help encourage the use of preferred products for additional savings.
  • Encouraging Use of Generics and Less Expensive Brands: PBMs use several tools to encourage the use of generic drugs and preferred brands. These include: formularies and tiered cost sharing, prior authorization and step therapy protocols, generic incentives, consumer education, and physician outreach. As PBMs and plan sponsors strive for greater savings, drug mix becomes even more important.
  • Using Cutting-Edge Tools to Improve Adherence: PBMs use Drug Utilization Review (DUR) to reduce waste such as polypharmacy and implement patient adherence programs to help patients stick to their prescription regimens. Both programs improve clinical outcomes and influence prescription volume and expenditures.
  • Improving Quality and Safety:  PBMs promote the use of technology like e-prescribing to improve quality and safety by preventing drug duplication and dangerous drug-to-drug interactions.
  • PCMA represents the nation's pharmacy benefit managers (PBMs), which improve affordability and quality of care through the use of electronic prescribing (e-prescribing), generic alternatives, mail-service pharmacies, and other innovative tools for 215 million Americans.

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    SOURCE Pharmaceutical Care Management Association
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