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Express Scripts clients being extorted, too

Last week, Express Scripts broke the news that someone was threatening to extort them for an undisclosed amount. The extortionist said that if Express Scripts didn't pay up, they would release... Read more...

Express Scripts, Cigna agree to $27M "drug switching" settlement

Pharmacy benefits manager Express Scripts and health plan Cigna have settled a New York state lawsuit over alleged "drug switching" for a total of $27 million. The suit, which was filed in 2004,... Read more...

SPOTLIGHT: Settlements between PBMs, states not tough enough

Recently, the industry has seen a string of cases in which pharmacy benefit managers have agreed to fork over settlements over allegations of bad behavior. Most recently, this includes the instance... Read more...

Express Scripts pays $9.5M settlement over drug switching

Pharmacy benefit manager Express Scripts has agreed to pay a total of $9.5 million to 28 states and the District of Columbia to settle allegations that it engaged in deceptive prescription-switching... Read more...

West Virginia limits prescription data reporting

Rather than completely banning the collection of prescribing information--a stance which has been challenged in other states--West Virginia is using its power of the purse to slow the practice there.... Read more...

Prescription drug price increases slowing down

Something may be giving in the eternal fight between managed care and the pharma business over brand-name drug costs. Prescription drug prices rose at the slowest pace in a decade during 2006, climbing 8.2 percent, compared with 9 percent in 2005, according to prescription management firm Express Scripts. Experts don't expect the smaller increases to continue, however, as they anticipate that fewer costly high-volume brand name drugs will go generic in coming years.

Meanwhile, drug …

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Study: CDHPs lead patients to drop medications

New research funded by pharmacy benefit manager Express Scripts has concluded that consumers give up medications rather than switch from brand-name drugs to generics. The study, which looked at healthcare claims for two national employers, compared prescription claims for the first nine months of 2005 versus the first nine months of 2006. The employers had kicked off CDHPs for their employees in January 2006, with one of the two employers seeing more than 20 percent of employees enroll. …

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ALSO NOTED: CVS approves Caremark merger; Ethnicity affects end-of-life care; and much more...

> After several months of wrangling over a counter-offer from Express Scripts, CVS shareholders have agreed to merge with Caremark Rx. Article

> A new report by the California HealthCare Foundation suggests that racial, cultural and ethnic factors often dictate what kind of end-of-life care California patients receive. …

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CVS execs indicted on bribery charges

Two suspended executives of CVS were indicted Thursday on federal charges of fraud and bribery of a former Rhode Island state legislator, raising questions about whether the pharmacy chain will be able to complete its planned--and contested--acquisition of pharmacy-benefits manager Caremark Rx. CVS Senior Vice President John R. Kramer and Carlos Ortiz, the company's government affairs chief, face a 23-count federal indictment for allegedly paying bribes disguised as consulting fees to …

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Express Scripts, CVS turn up Caremark rhetoric

In the newest attack in the increasingly ugly battle for control of Caremark Rx, rival PBM Express Scripts--currently the spurned suitor--called a dividend offer from drugstore chain CVS a "desperate attempt to save a flawed transaction.". Following yesterday's offer by Express Scripts to take over Caremark, valued at $24.8 billion to $25 billion, depending on whose numbers you believe, CVS sweetened its bid by offering a special cash dividend of $2 per share to Caremark shareholders, …

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