Quote of the Day

HHS regulations "basically mean that under the right circumstances every drug is ultimately available to an exchange enrollee….However, our experience suggests that this requirement does not preclude a health plan from initiating/implementing a very sophisticated and highly effective drug management program. There will be restricted formularies, tiering (preferred and nonpreferred drugs), prior authorization and a wide assortment of point-of-service edits in place….”

— Mesfin Tegenu, president of PBM PerformRX, told AIS’s Drug Benefit News.