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Caremark customers will have access to medication costs and lower-cost alternatives. CVS Health announced that members of its PBM, CVS Caremark, will begin receiving real-time visibility to member-specific medication costs at the point of prescribing and at the pharmacy. Members will also be pointed to available lower-cost therapeutic alternatives at those points. According to CVS , pharmacists in CVS pharmacies will have the information integrated into their existing workflow, which they say will make it easy to engage Caremark members about lower-cost alternatives, based on a members specific formulary coverage. Beginning in early 2018, CVS pharmacists will also be able to view out-of-pocket costs for Caremark members, which will allow the pharmacist to help the member select the lowest-cost medication. CVS pharmacists will also be able to request a prescription change from the prescriber with what CVS calls a simple one-step process. Related article: Why Every Pharmacist Should Care About the CVS/Aetna Deal "Patients often do not find out that the medication they were prescribed is not covered or has higher than expected out-of-pocket costs until they go to the pharmacy to pick up their prescription, which can result in patients not filling a prescription, non-adherence and, ultimately, higher downstream health care costs," said Troyen A. Brennan, MD, Executive Vice President and Chief Medical Officer of CVS Health. "Making detailed, real-time benefit information available for our PBM members and their health care team, whether it's the doctor or the pharmacist, can help streamline the patient experience and improve health outcomes while also lowering costs for both the patient and the payer." Prescribers will also see changes to their e-prescribing workflow. For Ca Continue reading >>

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Eighty percent of all prescriptions are now filled with generic drugs, says the Food and Drug Administration, that cost up to 85 percent less than their brand-name equivalent. But getting the best price on generics isn't as easy as ordering them at standard co-pay prices through employee-insurance mail-order programs. Treat buying generics without insurance like buying a toaster oven, snow blower or big-screen HDTV: Compare prices at local big-box stores, check prices online and even look for coupons. Wal-Mart and Target sell hundreds of generics for $4 each. Walgreens' Prescription Savings Club, which requires a $20 membership fee or $35 for families (visit bit.ly/1zz1VNp), offers discounts on three tiers of generics, starting at $5 for a 30-day supply. CVS charges members of its Health Savings Pass plan $11.99 for a 90-day supply. The plan, with access to CVS' low-cost medication list, costs $15 annually. (Enroll at a store pharmacy or here.) Costco is often cited as the best source of generics because it charges a flat percentage over its cost for each prescription. (Costco, Sam's and other warehouse clubs sell prescription drugs to non-members.) Make it the first place you check, but not the only place. The Bottom Line priced several popular prescription generics and found consistently low prices at Costco but frequently less expensive elsewhere if they are on other retailers' lists of low-cost medications. When comparison shopping: If a retailer doesn't list prices on similar quantities, check the per-pill price. >> Ranitidine, a generic version of the heartburn-relieve medication Zantac, costs $9.26 for 30 capsules (300-milligram capsules) at Costco but $4 at Wal-Mart. Walgreens charges $10. CVS sells a 90-day supply (90 tablets) for $11.99. >> Albuteral Sulfate, Continue reading >>

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Cvs Health Research Institute Study Finds Newly Diagnosed Diabetes Patients Less Likely To Need Treatment Intensification When Started On A Generic Drug

CVS Health Research Institute Study Finds Newly Diagnosed Diabetes Patients Less Likely to Need Treatment Intensification When Started on a Generic Drug WOONSOCKET, R.I., Oct. 31, 2014 /PRNewswire/ --New research from CVS Health (NYSE: CVS) finds starting a new diabetes patient on metformin, a generic oral diabetes medicine that helps control blood sugar levels, reduced the need to add on additional treatments to control the condition over time. Although there are many classes of oral diabetes medications, there has historically been little evidence available on the comparative effectiveness of treatments to help patients and providers select an initial diabetes therapy. This new research indicates diabetes treatment with a low-cost generic drug can have significant, positive implications for a patient's quality of life and medication cost. "With more than 25 million Americans affected and annual costs totaling more than $174 billion, diabetes remains a national public health priority," said Niteesh Choudhry, M.D., PhD, associate physician, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, associate professor, Harvard Medical School and an author of the study."By focusing our research on treatment intensification, which can be very difficult for patients and is inherently associated with increased side effects and costs, this study provides useful information to help patients and their doctors select an initial therapy." The study was conducted by researchers at the CVS Health Research Institute and Brigham and Women's Hospital, and was published this week in JAMA Internal Medicine.Researchers used medical and prescription insurance claims data to look at more than 15,000 patients who were prescribed an oral glucose-lowering medicati Continue reading >>

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As drug costs rise, Americans are having to choose between groceries and prescriptions. Here's why, and what you can do. We respect your privacy . All email addresses you provide will be used just for sending this story. Chuck Vanderwist, 38, says he had to make some awful choices once he learned that his health insurer would no longer cover his prescription for Humalog, the brand of insulin hed relied on for 17 years to control his type 1 diabetes. While appealing the sudden and expensive change in coverage, he began rationing his remaining supplya practice that landed him in the emergency room several times with dangerously high blood sugar levels. And then, even after his appeal succeeded, Vanderwist had a new problem: His co-pay for a 90-day prescription jumped to nearly $500, triple what it used to be. With other medical bills, rent, and child support, the father from Montrose, Colo., says he had to make another difficult appeal: I was forced to borrow thousands of dollars from my family and friends. 'Gag Clauses' Stop You From Getting the Lowest Rx Prices As drug costs continue to rise, Americans are feeling squeezed and desperate. A nationally representative Consumer Reports survey of almost 1,200 adults who currently take a prescription drug found that high costs are forcing people to cut back on groceries, delay retirement , and even take on a second job. And some say theyre making potentially dangerous choices, such as rationing or even stopping their meds . Just like Vanderwist. Seeing a patient give up needed medication or struggle to pay for food or housing because of high drug costs is devastating, says Marvin M. Lipman, M.D., Consumer Reports chief medical adviser. While its not always possible to limit those costs, it often is. Thats what this report is Continue reading >>

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