Ohio seeks bids for single PBM for its Medicaid department

Maia Anderson –
Tuesday, July 28th, 2020
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The restructuring came as Ohio Medicaids previous PBMs, CVS Caremark and OptumRx, came under examination for a lack of openness and a study discovered they had billed the department $244 million more than they paid pharmacies..

Maureen Corcoran, the Ohio Medicaid Departments director, informed the Journal-News that “the relocation to a single drug store benefit supervisor is another essential action in supplying quality care for our members, transparency in operations and accountable stewardship of Ohio taxpayer dollars.”.

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The Ohio Department of Medicaid has actually launched an ask for propositions for a business to serve as a single pharmacy benefit manager, advancing its plan to improve the states pharmacy advantage management system, the Journal-News reported..

Ohios House and Senate leaders settled on a strategy last July to reorganize the state Medicaid departments drug store benefit management by contracting with a single PBM..

The state likewise produced a single, transparent list of favored medications, which streamlines the previous authorization process for lots of drugs, the paper reported..

Proposals to end up being the Medicaid departments sole PBM are due Sept. 4.

The PBM picked will be required to divulge to the state just how much it pays for drugs and how much it compensates drug stores. The agreement will be rebid every four years, and PBMs might be fined for noncompliance..

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