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CORRECTION – The big PBMs and changes in AWP

My post yesterday about the coming changes to the AWP pricing formula for drugs included the statement

Understandably, the pharmacies, both independents and chains, are asking the big PBMs to change their contracts to account for the change by reimbursing the pharmacies a few points higher then their current rate.
Word is the big PBMs – Medco, Express – have politely declined.

The second sentence is wrong. Sources indicate the pharmacy chains/independents and the big PBMs are working thru the issue, or have already agreed to terms intended to preserve “cost neutrality” for the pharmacies.
I don’t have all the details on this yet, but wanted to correct my mistake as quickly as possible. More information to follow…
I apologize for the error.

Joe Paduda is the principal of Health Strategy Associates



A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.



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