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16 Apr 2018, 6:30 am by Senior Editor
  The comprehensive review of trends in prescription drug spending for workers’ compensation plans is available at myMatrixx.com     About myMatrixx, an Express Scripts company   myMatrixx® is a full-service workers compensation pharmacy benefit management company focused on patient advocacy. [read post]
1 Mar 2017, 12:55 pm by Cynthia Marcotte Stamer
  Changes to the procedures that Internal Revenue Service (IRS) Tax Exempt and Government Entities TE/GE examiners use to make and enforce Information Document Request (IDR) in connection with an audit or other examination make it more important than ever that taxpayers use special care to collect, organize and maintain all of the data and documentation that examiners are likely to request in IDR and take other steps to prepare in advance to respond to an IDR. [read post]
3 Jun 2023, 6:37 pm by Ben Vernia
The relator in the case sued a grocery chain that provided pharmacy services, alleging that the company routinely provided drugs at a significant discount to match competitors’ prices, but then charged federal healthcare programs the undiscounted rate as its “usual and customary” one. [read post]
2 Mar 2020, 11:04 am by Cynthia Marcotte Stamer
The 2/06/20 Proposed Rule would classify the portion of premium revenue that an insured health plan subject to the MLR rule expends on pharmacy costs as the actual reimbursement to pharmacies – minus any rebates or price concessions from manufacturers – no matter if the plan or its contracted PBM receives the price concession. [read post]
10 Sep 2015, 5:47 pm by Lawrence B. Ebert
” The decision continued: “During this long time the [...] art made marked advances along different lines, and when, in [...], the patent was granted, it disclosed nothing new. [read post]
28 Sep 2009, 9:31 am by John Rizvi
 In this case, Central Admixture Pharmacy Services sued Advanced Cardiac Solutions for patent infringment relating to a chemical solution used duriing heart surgery. [read post]
4 Apr 2017, 6:30 am by Senior Editor
Louis, Express Scripts provides integrated pharmacy benefit management services, including network-pharmacy claims processing, home delivery pharmacy care, specialty pharmacy care, specialty benefit management, benefit-design consultation, drug utilization review, formulary management, and medical and drug data analysis services. [read post]
26 Feb 2009, 9:15 am
Fortunately, nearly all big box pharmacies and many independent pharmacies accept electronic prescriptions. [read post]
8 Mar 2024, 4:17 am by Rob Robinson
Editor’s Note: The cyberattack on UnitedHealth Group’s subsidiary, Change Healthcare, by the ransomware group BlackCat marks a critical juncture in the ongoing struggle between advancing healthcare services and ensuring cybersecurity. [read post]
6 Feb 2015, 6:31 am
”The second was from the Newsletter of the Pharmaceutical Services Negotiating Committee (“PSNC”), which represents NHS pharmacy contractors, dated 2 February 2015Important: dispensing of Lyrica/PregabalinAt present the generic pregabalin is listed in Part VIIIA of the tariff as a Category C line with reimbursement currently based on Lyrica. [read post]
5 Jan 2016, 3:00 am by Lee H. Little
Laws and regulations for telepharmacies, internet pharmacies and electronic prescriptions are evolving. [read post]
7 Sep 2018, 10:44 am by luiza
” In his complaint, Silver alleged that PharMerica, an owner of pharmacies that service nursing homes, violated the Anti-Kickback Statute and False Claims Act by engaging in “swapping. [read post]
19 Jan 2022, 10:55 am by Katherine Pompilio
The strike is the most visible display of the military advancements made by the militia to date. [read post]