When It Comes to New Drugs, if Providers and Payers Snooze, They Lose

January 21, 2015

(Managed Care Magazine) – Recent drug developments make the answer clear: “Monitor — and comprehensively address — marketplace changes or imperil your plan’s assets and your participants’ health.” Too long for a bumper sticker, for sure. Perhaps “You snooze, you lose” might be better. But regardless of the maxim’s length and pithiness, what’s clear is that in the fast-changing, high-cost prescription drug market, pharmacy benefit managers (PBMs) and payers must continually monitor and quickly and wisely respond to new drug developments.

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