In August CVS Caremark (now CVS Health) and Express Scripts released their formulary restrictions, effective January 2015. CVS Health and ESI, which together cover nearly half of all Americans, make formulary decisions that influence roughly 150 million covered lives. Thus, pharmaceutical manufacturers are in a must play position to have any chance at maintaining a presence in the brand medication market.
Here are the highlights of each PBM’s formulary changes and their potential impact on your plan and participants.
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