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Managed Markets Insights

Perspectives on Medical Therapy Access, Reimbursement and Payer Influences

Health Plans and PBMs Take Action to Limit Utilization of Co-Pay Offset Programs

A disturbing trend is emerging in the co-pay assistance marketplace as marketers managing co-pay offset programs face increasing resistance from payers and pharmacy benefits managers (PBMs).  Payers and PBMs complain that co-pay offset programs raise costs by encouraging the use of branded drugs over …

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A Unique Service Supports Bio-Pharma Manufacturers Increasingly Challenged to Assess the Impact of Payer Management on New Product Introductions

Changes in the healthcare environment and payer access management of new products have resulted in increased pressure on bio-pharma manufacturers’ launch campaigns.  During development and 6-24 months prior to a commercial launch, manufacturers are increasingly challenged to plan for the impact of payer management …

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A Critical Piece to the Co-Pay Offset Puzzle: Pharmacist Perspectives on Co-Pay Offset Programs

Pharmacists play an important role in the operations of co-pay offset programs, both by processing co-pay coupons and by educating patients about co-pay offset programs.  We recently conducted in-depth interviews with twenty-one pharmacists to gather information about their perceptions of co-pay offset programs and …

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