For quite some time, Pharmacy Benefit Managers (PBM) have had controls in place such as drug lists or formularies and basic alerts prompted by pharmacy utilization that runs through a retail network, missing out on the total pharmacy experience as well as the overall claim health. While this approach has evolved over time and PBMs have focused more specifically on risk identification and interventions, the limited view in this traditional approach creates gaps in understanding that opens the pharmacy program, and, more importantly, its injured workers, to unnecessary risks...Read more
Featured on WorkCompWire, November 17, 2015
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