Pharmacy Best Practices
Specialty pharmacy s aware that value is becoming more important as
a measure of a successful program.
Are pharmacy benefits managers (PBMs) that rely on
revenue-generating mail-order prescription service going to get a
run for their money as 90-day retail programs hit the marketplace?
Walgreen Health Initiatives (WHI), a PBM headquartered in
Deerfield, Ill., is not particularly bothered by the new retail
product. WHI launched Advantage90, a 90-day retail fulfillment
program, in late 2003 with more than 26,000 pharmacies nationwide
now participating in the program.
If misery loves company, then Beverly Thomas of Carbondale, Ill.,
isn't alone. She is one of thousands of dual eligibles
(beneficiaries covered by both Medicaid and Medicare) who went to
the pharmacy after January 1, 2006, only to find that it would not
fill their prescriptions. Unfortunately, her medication for mental
illness is so critical that if she misses even a day, she could be
hospitalized. With the help of Southern Illinois Regional Social
Services, Thomas got squared away, but admits she still is confused
about how the new Medicare Part D benefit operates.