Evolution of Drug Benefit Management
Pharmacy Benefit Manager (PBM) Business Models
Simple Approach to Understanding PBM pricing
Drug Rebate Programs
Working Effectively with PBMs
Defining Generic Drugs
Tracking Generic Savings Opportunities
Getting to the Lowest Net Cost Drug
-- MAC Pricing
-- Plan Design and Other Incentives
-- Member and Prescriber Education
Impact of Generics on Medication Compliance
Strategizing Around Health Conditions
Managing Drug Mix Through Effective Plan Design
Cost Sharing Strategies
Economic Tools
Utilization Management Tools
Defining Specialty Pharmacy
Growth in Specialty Drug Marketplace
Cost Management Strategies
-- Rx & Medical Claims Analysis
-- Best Drug Pricing
-- Optimal Dispensing Channel
Utilization Management Strategies
-- Clinical Tools
-- Member Cost Share
-- Preferred Products
Clinical Care Management Strategies
-- High-touch Patient Services
-- Medication Adherence
Choosing a Specialty Pharmacy Provider
Measuring Success
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Industry Overview: Drug Benefit Stakeholders
Industry Stakeholders and Their Roles
Relationships Among Stakeholders
Customer Corridor for Pharmacy Benefit Management
Major Industry Achievements: 1995-2009
Challenges Ahead
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