Datapoint: CDPHP Selects New PBM

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May 18

Capital District Physicians’ Health Plan, Inc. (CDPHP), a provider-founded nonprofit insurer in New York, on May 12 selected Capital Rx as its new pharmacy benefits manager, swapping out CVS Caremark. The new contract will begin in January 2023. Capital Rx focuses on drug price transparency, using a pricing model based on CMS’s National Average Drug Acquisition Cost. CDPHP currently serves 391,238 members in New York, with 41.4% enrolled in commercial risk-based products.

Source: AIS’s Directory of Health Plans

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