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Piloting the PQA Specialty Pharmacy Turnaround Time Quality Measure

PQA

The use of specialty medicine has grown rapidly in recent decades, fueling parallel growth in the number of specialty pharmacies that serve patients who are prescribed specialty medications. Results of this work were published in the Journal of Managed Care & Specialty Pharmacy in October 2022.

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J&J copay lawsuit against drug benefit firm gets green light

pharmaphorum

While SaveOnSP is the nominal target of the lawsuit, it claims to expose one of the failings in the US health insurance sector, adding fire to an increasingly heated exchange between pharma manufacturers and pharmacy benefit managers (PBMs), which have blamed each other for high medicine prices in the US.

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Novartis agrees $245m settlement over Exforge generics delay

pharmaphorum

According to court documents cited by Reuters, annual sales of Exforge in the US were over $400 million before generic versions reached the market. In 2020, it also paid $345 million to resolve a series of cases brought by the federal government under the Foreign Corrupt Practices Act (FCPA).

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Celebrating PQA in 2024!

PQA

Today, we published the 2024 PQA Annual Report, which documents our progress towards our strategic goals. Successfully piloting pharmacy measure concepts focused on blood pressure and A1c improvement and control. Successfully piloting PQA’s endorsed measure focused on specialty pharmacy turnaround time.

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Does Blue Cross cover Humira?

The Checkup by Singlecare

As a specialty medication , Humira requires specific handling, administration, and monitoring, so you have to get it from a specialty pharmacy or other designated location. It’s also a good idea to review your Summary of Benefits and Coverage document to fully grasp the expenses,” Dr. Youssouf says.

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Participate in the Measure Development Process in 2023

PQA

The Specialty Pharmacy Abandonment Rate TEP will define a measure around primary abandonment rate of specialty pharmacy prescriptions. The Health Equity TEP will review how PQA measures can be a tool to foster health equity by producing recommendations related to stratification for quality measures.

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Quality Professionals Gathered at the 2024 PQA Leadership Summit

PQA

Chief Executive Officer Micah Cost opened the summit with an update on the state of the alliance. Cost highlighted progress towards completion of PQA’s strategic plan, Blueprint PQA 2025. Each panel session featured PQA staff and pilot project participants or other industry leaders, who detailed their approach, experience and outcomes.