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Pharmaceutical Commerce
ABC’s new acquisition, FirstView Financial, addresses underpayment of pharmacies as well as patient assistance programs
Among insurance policies, pharmacy benefit manager (PBM) practices, pharmacy network transactions and—ultimately—the patient’s pocketbook—settling on just how much a drug costs can be a complex and sometimes opaque process. Manufacturers’ copay programs address some of the patient financial issues, but pharmacies can have the same uncertainty when they encounter underpayment from PBMs for the drugs they dispense. When a pharmacy identifies underpayment from a PBM, one reaction can be simply not to fill prescriptions for that drug and that patient’s plan. That, in turn, raises patient frustration and simultaneously limits a drug’s market.
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