Will Narrowing Pharmacy Networks Squeeze Manufacturers?

Pharmaceutical Executive's May 2013 issue includes Pharmacy Benefit Networks: The Big Squeeze, a new article by yours truly.

The article's first half, excerpted from Chapter 8 of the 2012-13 Economic Report on Retail, Mail, and Specialty Pharmacies, analyzes the narrow pharmacy network trend and highlights its economic appeal to payers and pharmacies.

The article's second half contains my heretofore unpublished views on:

• How the narrow network revolution will affect pharmaceutical manufacturers’ commercial activities
• How manufacturers can best prepare for and respond to the risks and challenges of narrow pharmacy networks

Read the article's introduction below. As always, I welcome your comments.

How the Pharmacy Industry Ch-ch-changed in 2012

Last week, the IMS Institute for Healthcare Informatics released its official 2012 market data in the report Declining Medicine Use and Costs: For Better or Worse? (Free download with registration.) The report offers loads of interesting stats, but I focus here on the prescription data.

The highlights:

• Total retail prescription growth was 1.2% in 2012, a rebound from 2011’s especially weak growth of 0.3%.
• For the first time in nine years, chains lost market share, as they grew more slowly than the overall industry.
• Supermarkets staged an unexpected comeback, outpacing all other dispensing formats.
• Independents and mail pharmacies shrank both in absolute size and market share.

Read on for my observations on the 2012 data and the five-year (2008-2012) pharmacy market evolution. Time may change us, but we can't trace time.

Pharmacist Salaries Hit $117K and Keep Climbing

The Bureau of Labor Statistics (BLS) just released the 2012 Occupational Employment and Wages data. Once again, pharmacist salaries grew faster than did overall wages.

The highlights:

• In 2012, average gross salary for pharmacists at retail, mail, and specialty pharmacies was $117,000—up 2.6% from 2011.
• Of the 1,089 occupations in the Occupational Employment Statistics (OES) survey, the “pharmacist” classification ranked 35th in compensation. (The top 10 most highly compensated U.S. occupations are all physician-related.)
• Pharmacist salaries grew faster than did overall healthcare worker salaries and overall U.S. salaries.

Are pharmacists undervalued? Not if money equals appreciation. Read on for the details.

My Controversial 340B Op-Ed

Last week, congressional news site The Hill published my editorial on the 340B drug discount program. Read it here: Hospitals twist prescription assistance program for their own benefit. (The full text is also pasted below).

Some of you will agree with my perspective. Others of you will violently disagree. Please post your comments on Drug Channels. All points of view welcome!

For background, here are my two most recent articles on 340B:

• Hospitals' Extraordinary 340B Pharmacy Profits from Insured Patients
• The Coming Battle Over 340B Contract Pharmacies

Get Ready for the 2013 Armada Specialty Pharmacy Summit

Next week, I’ll be attending the always-great Armada Specialty Pharmacy Summit in Las Vegas. I enjoy meeting Drug Channels readers, so please introduce yourself. Email me to schedule a one-on-one meeting, especially if you're with a bio/pharm manufacturer and working on specialty channel strategies.

This year's agenda looks especially strong. To help you get ready, below are a selection of Drug Channels articles related to next week's business sessions.

To coincide with the 2013 summit, the Drug Channels Institute is offering a special discount on our 2012–13 Economic Report on Retail, Mail, and Specialty Pharmacies. Use discount code ARMADA2013. Hurry, because the discount expires on May 20, 2013!

See you in Vegas!

What’s Behind AmerisourceBergen’s Disappointing Oncology Results?

Last week, AmerisourceBergen (NYSE: ABC) reported financial results for the March 2013 quarter. Here’s the press release: AmerisourceBergen Reports $0.87 in Diluted EPS from Continuing Operations, and Revenue of $20.5 Billion for the March 2013 Quarter.

One surprise was the “disappointing performance” in ABC’s oncology business, which accounts for about 40% of its Specialty Group business and 7% of overall revenues.

While management pointed to the sequester, such oncology market changes as practice consolidation and white-bagging are bigger long-term negatives for specialty distributors. Below, I highlight some telling comments by CEO Steve Collis regarding the industry’s evolution.

Specialty distributors face significant risks from changes in the community oncology market. Do ABC’s results foreshadow an oncology market turning point, or simply reflect a short-term government reimbursement cut? Will the specialty distribution and full-line wholesale trade classes blur together? Read on and see what you think.

Drug Channels News Roundup: April 2013

Baseball season is finally here! Oil up your glove, put on your cleats, and let's run the bases around this month's news stories. Remember: Sometimes you win, sometimes you lose, and sometimes it rains.

In this issue:

• Home Run: How Express Scripts and Medco won antirust approval
• Green Monster: MHA's billion-dollar price tag highlights GPO valuations
• Free Agents: Consumers are price-shopping for prescriptions
• Batter Up: A look at the latest national track & trace legislation

Plus, just in time for baseball season, The Onion profiles an electrifying new entrant into the Philadelphia Sports Hall of Fame. Go Phillies!