News Briefs: Express Scripts to Revamp Administrative Fees
April 13
The Cigna Group’s PBM, Express Scripts, on April 13 unveiled a “fully transparent pricing model” called ClearCareRx, which allows private sector and government employers as well as health plans to “pay exactly what Express Scripts pays for drugs.” That means clients will receive 100% of drug rebates that Express Scripts negotiates and will pay “one simple fee” to cover PBM services, the administration of pharmacy benefits, reporting and analytics, the company said. Express Scripts also rolled out what it’s calling the Copay Assurance Plan, which caps copays on prescription drugs: no more than $5 for generics, $25 for preferred brand drugs, and $45 for preferred specialty brand drugs for consumers enrolled in the program.
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