All Articles In 'Prescription Drug Benefits'

Compounded Drugs: Congress Takes an Interest in Growing Compound Drug Industry

Compounded Drugs: Congress Takes an Interest in Growing Compound Drug Industry

Compounded drugs are a new hot issue in the pharmaceuticals industry and in Congress. There are little data about compounding pharmacies, but a new Congressional Research Service brief gives a comprehensive overview. Compounded Drugs Personalize Drug [...]

Federal Prescription Drug Pricing: Price Differences Between the VA and DoD

Federal Prescription Drug Pricing: Price Differences Between the VA and DoD

The prices of generic drugs vs. brand-name drugs has gathered a lot of attention lately. But buying in bulk and purchasing practices can have as much of an effect on prices as drug patents do.  That’s [...]

Health Care Spending and Hypertension: The Cost of High Blood Pressure

Health Care Spending and Hypertension: The Cost of High Blood Pressure

Hypertension, or high blood pressure, is related to several major chronic diseases. Obesity and diabetes raise your chance of developing high blood pressure, which in turn makes you more likely to suffer from heart disease and [...]

Medicaid Prescription Drugs: Utilization in Medicaid Health Plans and Medicaid Fee-for-Service

Medicaid Prescription Drugs: Utilization in Medicaid Health Plans and Medicaid Fee-for-Service

What’s the impact on patient care, particularly prescription drug utilization, as Medicaid beneficiaries move from fee-for-service to Medicaid health plans?  This year, state Medicaid programs will spend over $22.1 billion on pharmacy benefits. This will grow to [...]

Electronic Health Records: Best Practices in Washington State Save Medicaid Money

Electronic Health Records: Best Practices in Washington State Save Medicaid Money

Health information technology, care coordination, and cost containment have increasingly become entwined in health care policy. Medicare and Medicaid both have electronic health record (EHR) incentive programs to encourage physicians, hospitals, and other providers to use [...]

Medicare Drug Benefit: Formulary Oversight in Medicare Part D

Medicare Drug Benefit: Formulary Oversight in Medicare Part D

Medicare Part D, the Medicare drug benefit, served roughly 31 million seniors last year. Medicare Part D is more similar to Medicare Advantage than to traditional Medicare in that enrollees can choose among several private health [...]

Prescription Drugs: A Look at Pharmacy Services Administrative Organizations

Prescription Drugs: A Look at Pharmacy Services Administrative Organizations

Independent pharmacies play a central role in the U.S. prescription drug market, distributing almost one in five drugs sold in the country. But small pharmacies often do not have the resources to handle the administrative burden [...]

State Tort Liability for Generic Prescription Drugs: SCOTUS Pharma and Biotech Case Previews

State Tort Liability for Generic Prescription Drugs: SCOTUS Pharma and Biotech Case Previews

Generic drugs have operated under a different set of rules than brand-name drugs since 1984, when Congress passed the Drug Price Competition and Patent Term Restoration Act of 1984, or Hatch-Waxman Act. Brand-name drug manufacturers must [...]

Legality of Pay for Delay Settlements: SCOTUS Pharma and Biotech Case Preview

Legality of Pay for Delay Settlements: SCOTUS Pharma and Biotech Case Preview

The 2012 Supreme Court got a lot of attention for its decision to uphold most of the Affordable Care Act (ACA) health reform law in NFIB v. Sebelius. But this year’s court docket will be no [...]

State Medicaid Changes: Cuts and Increases During Recession to Medicaid Benefits and Provider Payments

State Medicaid Changes: Cuts and Increases During Recession to Medicaid Benefits and Provider Payments

Medicaid accounts for the largest share of state budgets and is growing still. Since fiscal year 2010, state Medicaid spending nationwide grew from 22.2 percent to about 24 percent of the average state budget, according to [...]