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Do You Really Know the Cost of Opioid Prescriptions to Your Health Plan?

Chronic opioid prescribing can be responsible for 15% of the total annual medical cost.

Experience derived from the treatment and chart review of 2,500 patients, OPCM has documented patient responses to opioids at different levels of usage and stages of detoxification. Proprietary predictive analytics reviews de-identified patient Rx data to rank the risk of overdose or abuse in addition to Rx patterns that identify over-prescribing providers that may be the cause of additional medical encounters.

The speaker will discuss the unrecognized health plan costs of chronic opioids and how they have gone unrecognized.

Michael Vasquez CEO & Founder, Opioid Clinical Management, Inc

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Findings from PBMI's 2019 Trends in Specialty Drug Benefits Report

This webinar will review key findings from the most recent Trends in Specialty Drug Benefits report.   Report and webinar sponsored by Walgreens and AllianceRx Walgreens Prime.

Jane Lutz Executive Director, PBMI
Sharon Frazee PhD, MPH, Vice President of Research & Education, PBMI

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Findings from PBMI's 2018 Trends in Drug Benefit Design Report

This webinar will review key findings from the most recent Trends in Drug Benefit Design report.  Report and webinar sponsored by Takeda Pharmaceuticals U.S.A., Inc.

Jane Lutz Executive Director, PBMI
Shelly Carey Research Director, PBMI

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340B Ecosystem Management: Creating an Integrated Framework for a Dynamic 340B Environment

This webinar will discuss trends in contract pharmacy and onsite pharmacy strategies, how those strategies evolve against an ever-changing market landscape, and how covered entities can create an integrated and seamless 340B management program as their needs and priorities evolve.

Topics include:
  • Growth in provider-based specialty pharmacy
  • Trends in 340B contract pharmacy
  • Important service and capability expectations of 340B Covered Entities
  • The evolution of 340B management strategies and partnership considerations

Ross Halsne, VP Market & Product Strategy, American Health Care powered by Maxor

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Are You Paying Attention to Trends?

A survey of universities, large non-profit organizations, and governmental agencies was conducted to determine if pharmacy trends in the non-profit labor market differ from reported industry trends. With rising concerns of affordability plans are challenged to keep costs low. Plans are pursuing a wider array of approaches to reduce health care costs and risk.

Their focus includes:
  • Proactively managing pharmacy spend, especially related to specialty pharmacy costs and utilization
  • Selecting a pharmacy benefit manager based on their ability to reduce costs and demonstrate improved outcomes
  • Growing use of plan designs to increase out-of-pocket costs to discourage use of overused and high-cost drugs.

Angelo Monaco, Market Research Consultant
Nicole Hancy, PharmD, Vice President of Clinical Services, Citizens Rx
Bill Barre, Executive Vice President of Business Development, Citizens Rx

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Finding a Solution to Lower Prescription Drug Costs

High prescription drug costs can negatively impact plan sponsors and their members who need them. The recent Trump administration prescription drug cost-reduction plan has heightened the focus on finding a solution to reduce costs. As a result, many plan sponsors are demanding greater accountability and transparency from their pharmacy benefit manager (PBM). So, what can you do to ensure your PBM is delivering the most transparent and affordable solutions? During this session we will dive into the issues and important questions you should be asking your PBM to ensure transparency, the best possible financial performance, and complete alignment with your objectives.

Arlene Edlin, General Manager, Sales, Navitus
Gary Hattendorf, Regional Sales Vice President, Navitus

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Game On! Helping Patients Win Through Innovative Solutions

As humans, we all derive some emotional satisfaction from playing a game. It's the reason why Candy Crush Saga has 50 million active monthly users on Facebook. Playing a game gives us a reward, provides an opportunity to socialize, offers a distraction from the stresses of everyday life, and is just downright fun.

Games and healthcare are two words that don't always find themselves in the same sentence. Until now. Learn how Express Scripts is keeping patients engaged daily in their care through a fun, user-friendly mobile experience.

Kyle Amelung, PharmD, BCPS
Sr Manager, Health Technology
Express Scripts

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A Solution to the Generic Drug Price Inflation: Compound Alternatives

Over the past two years, the pharmacy industry has seen an an unprecedented surge in generic pricing, which has led to an unexpected increase in cost for many key stakeholders in the pharmaceutical supply chain. Under high generic drug prices, patients face higher copays and even decline their medications due to increased out-of-pocket costs. Plan sponsors struggle with higher drug spend and pharmacies receive inadequate reimbursements. Meanwhile, prescribers and pharmacists are switching disgruntled patients to alternative drug therapies, while plan sponsors scurry around to save on costs. PBMs and plan sponsors are now seeking guidance from local compounding pharmacists in search of compound alternatives. These alternatives are for medications that are on short supply, no longer on the market, and whose prices have been excessively inflated. Products such as Daraprim, oral vancomycin, Zovirax, and colchicine, are just a few examples of such medications that contain a compounding alternative in today’s market place.

This webinar presents results from compound alternative programs using claims information.

Del Doherty, PharmD, PhD, MPH, Vice President of Managed Care, PersonalMed, LLC
Angela Van Dyke, MHA, CPhT, National Sales Manager, PersonalMed, LLC

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Perspective on the Rx Pipeline: Understanding Market Impacts and How to Improve Plan Performance

The need to continuously monitor the drug pipeline, particularly with specialty medications, is increasingly important as treatment options change with new drugs coming to market. The evaluation and communication of clinical benefits and cost-effectiveness of newly approved medications has become vital for building trust and value with plan sponsors. Our Perspective on the Rx Pipeline (POP) reports provide ongoing insights with recommendations to protect and improve plan performance.

Learn from our team of clinical experts five key ways to distill the breadth and depth of drug pipeline information to its simplest form to uncover meaningful insights for your organization.

By the end of this webinar you will be able to:
  • Discuss current and future trends of the drug pipeline
  • Identify activities that impact drug utilization and costs
  • Understand how to tailor solutions for various stakeholders
  • Select key elements of a quality pipeline product
  • Asses the potential value of pipeline services

Christa Bigham, PharmD, RPh, MSCS, Drug Information Pharmacist, EnvisionRx
Christine Anderson, Director Clinical Services and Outcomes, EnvisionPharmacies
Ian Parnigoni, PharmD, RPh, Clinical Account Executive, EnvisionRx 

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Headaches No More...Improving Parity in Medical Specialty Reimbursement

A large public health plan in California identified issues in the payment of Specialty Rx paid under the medical benefit. An innovative approach was necessary to correct claim adjudication issues.

This webinar will present the approach to the problem, the analyses, the current health plan interventions, and the plans for future next steps. The goal is to present what one health plan has done, and plans to do, to make Specialty Rx more efficient, accurate, and less costly.

Craig S. Stern, RPh, PharmD, MBA, President, Pro Pharma Pharmaceutical Consultants, Inc.

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