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“Patients who want to purchase Vraylar with Medicaid should review the plan’s formulary and discuss the options with the doctor or pharmacist to obtain the best coverage.” Antipsychotics are consistently part of Medicaid’s drugutilizationreviews (DUR) , which assess drug abuse and misuse.
Currently, PBMs can charge DIR fees for a variety of reasons, including performance metrics, drugutilizationreviews, and medication therapy management. These fees can be substantial and are often difficult for independent pharmacies to predict and budget for.
The appointed panelists are: Matthew Dinh, SCAN Health Plan Marybeth Farquhar, American Urological Association (AUA) Dana Erf Fortman, Walgreens Katie Herndon, Pfizer Michelle Juhanson, Magellan Rx Management Shellie Keast, American DrugUtilizationReview Society (ADURS) Susie Kim, CVS Health Aimee Loucks, Kaiser Permanente Nate Lucena, Rex Wallace (..)
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