Mandatory Mail Order, Restricted Networks, Specialty Networks: Ironing Out the New PBM Wrinkles

Tuesday, October 16, 2012, 2:45 p.m. - 4:15 p.m.
San Diego Convention Center
Location: Convention Center, Room 5AB, Level 2
Continuing Education Credits: 0.15 (1.5 Contact Hours)
ACPE #: 207-000-12-245-L04-P
ACPE #: 207-000-12-245-L04-T

The independent community pharmacy market is complex and ever changing. However, one constant is new PBM-driven strategies that force patients out of the community setting and into venues where there is potentially higher PBM profits. Even as one trend seems to be abating like the new flat to negative trend in mandatory mail, new PBM wrinkles form. For example, PBM schemes to drive community pharmacy patients into restricted networks, and retooled mail order programs that require patient opt out have the potential to negatively impact your practice. In addition to explaining these new wrinkles, this session shares current research findings comparing the cost of prescriptions at mail order vs. community pharmacy, and will provide you with actionable insight regarding future implications of new PBM strategies and possible strategies to combat them.

Pharmacist Learning Objectives:

  1. Evaluate the current trend line for mandatory mail order programs and its outcome on community pharmacy.
  2. Discuss restricted networks and how they function.
  3. Describe the concept of an opt-out clause and how it affects patient pharmacy choice.

Technician Learning Objectives:

  1. Evaluate the current trend line for mandatory mail order programs and its outcome on community pharmacy.
  2. Discuss restricted networks and how they function.
  3. Describe the concept of an opt-out clause and how it affects patient pharmacy choice.

Speakers: Zack French, Vice President, PBM Transparency Initiatives, NCPA, Alexandria, Virginia; Michael Jacobs, Vice President, National Accounts, Truveris, Inc., New York, New York; Gary Rutherford, Founder, COO, HealthPlan Data Solutions, LLC, Columbus, Ohio; Dean Erhardt, Principal, D2 Pharma Consulting, LLC, St. Charles, Missouri; Greg Greenlee, Vice President, Business Development, MaxCare, Oklahoma City, Oklahoma

Categories: Activity Type: Knowledge-based
Audience: Pharmacists and Pharmacy Technicians

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