Focuses on the task faced by the health plans in handling claims for specialty pharmacy items. Decision of the Blue Cross and Blue Shield of Massachusetts Inc. in covering Xolair; Collaboration of Medco Health Solutions Inc. with Ancillary Care Management in providing a new claims processing ...
Specialty drugs now account for half of the cost of treating patients with rheumatoid arthritis (RA) or hepatitis C (Hep C), according to 2 studies presented by St. Paul-based Prime Therapeutics (Prime) and Blue Cross and Blue Shield of Minnesota at the Academy of Managed Care Pharmacy's ...
Objective: To implement a pharmacy management program to assure the appropriate distribution and utilization of palivizumab, used for the prevention of respiratory syncytial virus infection in high-risk chil- dren.* Setting: Horizon Blue Cross Blue Shield of New Jersey.* Program: A specialty pharmacy...
Tracking spending on these pharmaceuticals is complex, because these products may be processed as either medical or pharmacy claims. This benchmarking study of ten Blue Cross Blue Shield plans, representing almost eighteen million covered lives, documents large expenditures on select specialty ...