Feb 19, 2024 | Drug costs, Drugmakers, Generic Drugs, Lawsuits, Pharmacy Benefits Manager (PBM)
Leading drug manufacturer Johnson & Johnson is being sued for mismanagement of the company’s pharmacy plan. The lawsuit, which also names J&J’s pharmacy benefits manager (PBM) as a defendant, accuses the company of massively overpaying the PBM for...
Feb 6, 2024 | Claims, Claims data, Cost Savings, Drug costs, Gene therapy, Genetic testing, MedBen News, MedBen Rx, MedBen University, Pharmacogenics, Pharmacy Benefits Manager (PBM), Self-funding, Specialty Drugs, Stop-Loss
MedBen recently had the honor to welcome some of the most respected names in the benefits management industry. At the invitation-only 2024 Benefits Advisory Conference on January 26, attending brokers learned about health plan innovations that will help self-funded...
Jan 5, 2024 | Access solutions, Acquisition Cost Index (ACI) pricing, Appropriateness Solutions, Benefits preservation, Comparative Effectiveness, Drug costs, MedBen Rx, Pricing solutions, Specialty Drugs
Pfizer, Sanofi, Takeda Pharmaceutical, and other drugmakers will raise the prices of more than 500 drugs in early January, according to an analysis by health care researchers 3 Axis Advisors. Inflation and rising manufacturing costs will contribute to the price...
Jan 2, 2024 | Biometric recognition, Claims, Drug costs, Flexible spending accounts (FSAs), Health Benefits, Health reimbursement arrangements (HRAs), ID Card, MedBen Access, Mobile App, Online Services, Wellness
Based on client survey feedback, some plan members aren’t aware that MedBen offers a mobile app… so we’ve created a flyer to help spread the word! MedBen Access has long been available online, but for those who prefer smartphone convenience, the...
Dec 22, 2023 | Acquisition Cost Index (ACI) pricing, Cost Plus Pricing, Cost Savings, Drug costs, MedBen Rx, Pharmacy, Prescription, Rx Costs, Savings, Spread Pricing
Spread pricing is the difference between what pharmacy benefit managers (PBMs) charge health plans for drugs and what the pharmacy actually pays for them. Often, this “spread” can be substantial, as PBMs profit greatly from their lack of transparency… so it’s not...
Nov 14, 2023 | Drug costs, Obesity, Pharmacy, Prescription, Wegovy, Weight loss, Zepbound
In light of all the attention that weight loss drugs have received lately – as well as the pricing havoc these drugs have been causing in some pharmacy plans – the following news items have caught our attention: North Carolina says its health plan will...