Category: Other Industry

Express Scripts Defends 340B Claims ID Requirement

In Other Industry, Trade AssociationApril 8, 2021

Pharmacy benefits manager Express Scripts (ESI) told a hospital group and an HIV/AIDS clinic in recent days that it has “already granted numerous pharmacies extensions” to its controversial new 340B claims identification requirement that went into effect March 1. …

340B Groups Ask Express Scripts to Drop Claims Submission and ID Requirement

In Other Industry, Trade AssociationApril 6, 2021

Tom Mirga

Groups representing 340B health care providers have asked pharmacy benefit manager Express Scripts (ESI) to stop making 340B providers and their contract pharmacies retrospectively submit and flag 340B claims in a way that has never been done before, and that …

Amazon Is Opening its Employees-only Primary and Urgent Care Service to Companies Nationwide

In Other IndustryMarch 18, 2021

Tom Mirga

Online retailer Amazon announced yesterday that it began offering companies in Washington state access to its Amazon Care telehealth and home-visit primary and urgent health care services, which include “prescription delivery right to a patient’s door.”

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Opposition to Express Scripts’ 340B Claims ID Requirement Grows

In Federal, Other Industry, RegulatoryMarch 16, 2021

Tom Mirga

Legislation addressing pharmacy benefit manager Express Scripts’ (ESI) new claims identification requirement for 340B drugs could be introduced in Congress soon, advisers to 340B covered entities said yesterday.

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Providers Worried About Humana’s 340B Claims ID and Data-Reporting Conditions

In Other Industry, RegulatoryMarch 9, 2021

Tom Mirga

Health insurance company Humana has begun sending pharmacy provider agreements for 2022 to 340B-participating pharmacies, with claims-identification and data-reporting conditions that some 340B providers say are unsettling. They say the agreements are to be signed and returned within 30 days …

340B Report Publisher/CEO: Look for a Return to an Era of 340B Guidance

In Other IndustryMarch 4, 2021

Tom Mirga

The Biden administration’s embrace of the federal government’s traditional stance on the enforceability of program guidance—which the Trump administration rejected—may lead to stronger enforcement of 340B program guidance and possibly even the issuance of new 340B guidelines, 340B Report Publisher …

Express Scripts’ New 340B Rules Will Have Big Impact on Contract Pharmacy and Drug Reimbursement, Providers and Consultants Say

In Federal, Other Industry, RegulatoryFebruary 26, 2021

Tom Mirga

340B covered entities say they are deeply concerned about pharmacy benefit manager Express Scripts’ (ESI) requirements, effective Monday, governing what pharmacies in the PBM’s network must do when they identify that a previously submitted claim is 340B-eligible. Last night, ESI …

Express Scripts’ New 340B Claims ID Requirement Has Covered Entities Worried

In Federal, Other Industry, RegulatoryFebruary 25, 2021

Tom Mirga

Pharmacy benefit manager Express Scripts late yesterday began notifying 340B covered entities by email that, effective March 1, it “will require a new identification method for submitting and identifying 340B eligible claims.”

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Bausch Health Confirms 340B Rapprochement with AmeriSourceBergen

In Other IndustryFebruary 16, 2021

Tom Mirga

Drug manufacturer Bausch Health last week said on the U.S. Health Resources and Services Administration website that its branded NDCs “will once again be available at the 340B ceiling price” through AmeriSourceBergen Corp. (ABC) “for eligible 340B purchases made by …

AmeriSourceBergen Has Resumed Distributing 340B-Priced Bausch Health Drugs

In Other Industry, Pharma IndustryFebruary 2, 2021

Tom Mirga

Drug manufacturer Bausch Health and distributor AmeriSourceBergen Corp. (ABC) apparently have settled their differences and 340B pricing on Bausch Health products is being restored to ABC’s ordering platforms, 340B Report has learned.

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