Drug Channels delivers timely analysis and provocative opinions on pharmaceutical economics and the drug distribution system. It is written by Adam J. Fein, Ph.D., one of the country's foremost experts on pharmaceutical economics and channel strategy. Drug Channels reaches an engaged, loyal and growing audience of more than 24,000 subscribers. Learn more...

Friday, February 15, 2019

Pharmacy Fraud Within Pharmaceutical Co-Pay Programs: What You Need To Know

Today’s guest post comes from Tim Ogren, Senior Vice President, Products at TrialCard.

Tim discusses the rise in pharmacies making fraudulent claims and the costs of these claims. Learn more in Trialcard’s white paper: Detecting Pharmacy Fraud: Is Your Brand’s Co-Pay Program Protected?

TrialCard developed Spotlight®, a pharmacy fraud detection product for manufacturers. To learn more, contact Tim Ogren, TrialCard’s Senior Vice President of Products, at tim.ogren@trialcard.com.

Read on for Tim’s insights.

Thursday, February 14, 2019

Preorder Now: Our 2019 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers

On March 5, 2019, Drug Channels Institute will release The 2019 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers.

This new tenth edition is the most comprehensive, fact-based tool for understanding the entire U.S. drug pricing and distribution system.

The 2019 edition has been significantly expanded and restructured since last year’s edition. We have added new industry data sources, deepened our coverage of many topics, and added more trending information. There are also 2 new chapters and many new exhibits.


This year, we are providing you with the opportunity to preorder this thoroughly updated and revised 2019 edition at special discounted prices. This means that you can be among the first to access our new report. Those who preorder will receive a download link before March 5.

You can pay online with all major credit cards (Visa, MasterCard, American Express, and Discover) or via PayPal. Click here to email us if you would like to pay by corporate purchase order or check.

Special pricing discounts will be valid through March 22, 2019.

As always, thank you for your interest in our work. If you have any questions before purchasing a license to the report, please email me. Enjoy!

Tuesday, February 12, 2019

Express Scripts Confirms It (Again): Minimal Growth in Drug Spending and Prescription Costs

Last week, Express Scripts released its 2018 Drug Trend Report. (Free download.)

As you will see below, drug spending is not “skyrocketing” or “soaring.” All payer types experienced extremely low growth in pharmacy benefit spending. Average net (post-rebate) drug costs declined.

These data also shed light on specialty drug spending. Greater use of specialty medications—not cost increases—was the most significant driver of spending.

The latest Express Scripts data confirm the cost and spending slowdown that I have highlighted in previous Drug Channels articles. I’ll ask again: Can someone please alert the media and our elected officials?

Meanwhile, the report dodges crucial questions about the effect on patients. Overall drug spending is growing very slowly—but the sickest Americans are stuck paying ever-higher out-of-pocket costs for drugs with net prices that are flat or declining. That's worse than getting an empty box of chocolates for Valentine's Day.

Monday, February 11, 2019

Expanded Access Programs 2019

Expanded Access Programs 2019
March 27-28, 2019 | The Inn at Penn | Philadelphia, PA
www.cbinet.com/EAP

CBI’s Expanded Access Programs 2019 focuses on the design, development and practical implementation of early access programs. The summit convenes top industry stakeholders and regulators to examine current approaches in providing investigational, pre-launch or end-of-lifecycle drugs to patients for treatment purposes. A multi-stakeholder faculty will address key issues affecting EAPs and review the potential impact of the evolving legislative landscape.

Drug Channels readers will save $300 off of the standard registration rate
when they use code AGK946.* REGISTER TODAY!

Join Expert Thought Leaders Including:
  • Marcel van Kuijck, Vice President UltraPrograms, Global Medical Affairs, Ultragenyx Pharmaceutical Inc.
  • Tom Watson, Executive Vice President, Early Access Programs, Bionical
  • Naomi Lopez Bauman, Director of Healthcare Policy, Goldwater Institute
  • Sharon Ellison, DUHS IRB Chair; pharmacist, Duke University Hospital
  • Gretchen M. Randlett, Consultant – Clinical Trial Commercial Product Strategy and Process, Eli Lilly and Company
  • Alison Bateman-House, Ph.D., MPH, MA, Assistant Professor, Division of Medical Ethics, NYU Langone Health; Co-Director, NYU School of Medicine Working Group on Compassionate Use and Preapproval Access (CUPA)
  • Dawn Sullivan, Department Manager, Global Medical Affairs & UltraPrograms, EAPs/ISTs, Ultragenyx Pharmaceutical Inc.
  • Erika Segear, Ph.D., RAC, Associate Director of Regulatory Affairs, Duke University
Key Topics to Be Addressed:
  • Implement practical guidelines for responding to inquiries around Right to Try
  • Assess whether there is an opportunity to seek reimbursement through traditional payer channels
  • Navigate the development process of sibling Early Access Programs
  • Bring the patient voice into the development of Early Access Programs
  • Learn how global organizations are handling new legislation on patient privacy
  • Explore how crowd funding bridges Right to Try, stem cell and new frontiers
  • Discuss post-clinical trial access when a program does not meet endpoints
This multi-stakeholder event is focused on U.S. and global models for a variety of access management programs, including, but not limited to:
Expanded Access Programs, Early Access Programs, Compassionate Use Programs, Named Patient Programs and Managed Access Programs.

Visit www.cbinet.com/EAP for more information.

Drug Channels readers will save $300 off of the standard registration rate
when they use code AGK946.* REGISTER TODAY!

*Applies to standard rates only and may not be combined with other offers, category rates, promotions or applied to an existing registration. Offer not valid on workshop only or academic/non-profit registrations.


The content of Sponsored Posts does not necessarily reflect the views of Pembroke Consulting, Inc., Drug Channels, or any of its employees.

Tuesday, February 05, 2019

My Wall Street Journal Op-Ed: Don’t Blame Drug Prices on ‘Big Pharma’

Yesterday, The Wall Street Journal published my op-ed: Don’t Blame Drug Prices on ‘Big Pharma’. The article text is pasted below for those who don't subscribe.

I wrote this piece for a general business audience, though my arguments about rebates and patient out-of-pocket costs will be familiar to regular readers of Drug Channels. Alas, I had to omit such insider terms as gross-to-net bubble, direct and indirect remuneration, and SpongeBob SquarePants.

A personal note: I have been reading the WSJ daily since I was 18 years old. It’s a genuine thrill to see my byline on an op-ed in this newspaper. Another item off my bucket list!

Monday, February 04, 2019

Partnering with IDNs BioPharma Strategy Summit West

Partnering with IDNs BioPharma Strategy Summit West
March 20-21, 2019 | Scottsdale, AZ
www.cbinet.com/IDN

As part of an evolving healthcare environment, the life science industry is continually challenged to be effective in how it engages health system partners. It is critical that discussions evolve to meet the needs of today and also where healthcare is headed tomorrow.

To address the challenges and opportunities ahead, join a distinguished group of industry pioneers at CBI’s Partnering with IDNs BioPharma Strategy Summit West – an important event for learning how to best meet the needs of these evolving networks for better patient outcomes.


Drug Channels subscribers will save $400 off the standard registration rate
when they use promo code RMD779* by March 1, 2019.

Diverse Perspectives from Industry Pioneers:
  • Matthew Portch, Vice President, Managed Markets, Sunovion
  • Marla Weigert, Vice President, System Pharmacy Services, President, Dignity Specialty Pharmacy
  • JD Fischer, Sr. Health Policy Analyst, Policy Division, Washington State Healthcare Authority
  • John Robicsek, Assistant Vice President, Strategy, Business and Program Development, Pharmacy Administration, Atrium Health
  • Jacob Jolly, Program Director, Specialty Pharmacy, Vanderbilt University Medical Center
  • Melissa Leedock, Director Pharmacy Formulary and Commercial Operations, Pharmacy Services, Capital Blue Cross
  • Jay Weaver, PharmD, MPH, Divisional Vice President, Enterprise Pharmacy, Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
  • John Musil, Founder and Chairman, Avella Specialty Pharmacy
  • Dawn Bina, Account Manager, BioPharm, Novo Nordisk Inc.
  • Lauren Vela, Senior Director, Member Value, Pacific Business Group on Health
Discuss Innovative Partnership Models, Compare Population Health Management Strategies and:
  • Explore employer trends in cost sharing, utilization management, pharmacy network strategy and more
  • Assess the best approach for working with providers on data collection and integrity
  • Discuss how to take pilot key learnings and craft a meaningful IDN value story
  • Consider engagement strategies for risk-based contracting with evolving IDNs
  • Examine the different approaches to IDN-SP integration and how manufacturers can utilize this information for strategic planning
  • Describe the benefits of collaboration across the industry to optimize and standardize outcomes reporting
  • Plus! Benefit from 12+ hours of networking with manufacturers, health systems, payers, specialty pharmacies
  • And More!

Visit www.cbinet.com/IDN for more information. Drug Channels subscribers will save $400 off the standard registration rate when they use promo code RMD779* by March 1, 2019.

*Offer expires 3/1/19, applies to standard rates only and may not be combined with other offers, category rates, promotions or applied to an existing registration. Offer not valid on workshop only or academic/non-profit registrations.


The content of Sponsored Posts does not necessarily reflect the views of Pembroke Consulting, Inc., Drug Channels, or any of its employees.

Friday, February 01, 2019

Shaping an Effective Data and Analytics Strategy for Your Oncology Therapy in 2019

Today’s guest post comes from Derek Rago, VP/GM of Data, Evidence & Insights at McKesson Life Sciences.

Derek discusses how biopharma companies can use real-world evidence to gain efficiencies and build effective strategies. He also outlines the key elements of an effective data and analytics strategy.

To learn more about McKesson’s data, evidence and insights solutions, visit McKesson.com/DataInsights.

Read on for Derek’s insights.

Thursday, January 31, 2019

Drug Channels News Roundup, January 2019: Part D Plan Profits, Hospitals vs. Drugs, and BS in Healthcare

L.A. vs. New England! Youth vs. experience! Kale vs. chowdah! Yes, it’s time for a weekend of blow-out commercials, occasionally interrupted by a football game.

Before you start training to gorge at your Super Bowl-party, tackle this month’s selection of notable news stories, intercepted for you from the Drug Channels gridiron.
  • Touchdown: The little-known ways that plans profit from Medicare Part D
  • Trick play: Hospital care vs. prescription drugs: My best tweet ever!
  • Offensive lines: A must-read guide to BS in healthcare
Plus, we here at Drug Channels have just released our 2019 media kit. Check it out and let us know how we can help you appear on the site.

P.S. Follow my curated links to cool stuff at @DrugChannels on Twitter.

Tuesday, January 29, 2019

Drug Prices Are NOT Skyrocketing—They’re Barely Growing at All

The IQVIA Institute for Human Data Science today released a new report that reveals important realities about U.S. drug pricing trends.

Too many politicians and journalists remain committed to the false narrative of “skyrocketing” and “soaring” drug prices.

By contrast, IQVIA data reveal that list prices for brand-name drugs grew by less than 6% in 2018. What’s more, net prices (after rebates and discounts) increased by only 1.5%. The 2018 figures mark the fourth consecutive year that net drug prices have grown by low-single-digit amounts.

I recognize that relying on “facts” and “data” has become unfashionable. But I simply don’t understand how we can build sound public policies based upon inaccurate perceptions. As the late senator Daniel Patrick Moynihan said: "Everyone is entitled to his own opinion, but not his own facts." I doubt this principle will guide today's congressional hearings.

Monday, January 28, 2019

sPCMA Business Forum

sPCMA Business Forum
March 11 & 12, 2019
Hilton Bonnet Creek | Orlando, FL

The sPCMA Business Forum brings together senior executives and decision makers from PBMs, health plans and their affiliate specialty pharmacies to collaborate with drug makers and their other important business partners. The event offers invaluable networking and education for individuals and companies involved in the specialty drug supply chain. Conference sessions will cover critical issues confronting the work of PBMs, insurers and drug makers.


Contact PCMA

Please contact Jenny Bradham (jbradham@pcmanet.org) with questions or to request further information.


The content of Sponsored Posts does not necessarily reflect the views of Pembroke Consulting, Inc., Drug Channels, or any of its employees.


Wednesday, January 23, 2019

New Part D Enrollment Data: CVS Extends Its Lead in 2019 Preferred Pharmacy Networks

The Centers for Medicare & Medicaid Services (CMS) has just released its first 2019 data on enrollment in Medicare Part D prescription drug plans (PDPs).

Our exclusive analysis of these numbers finds that for 2019, 88.4% of seniors are enrolled in PDPs with preferred pharmacy networks. That’s a drop from last year's figure of 99.9%.

Below, we use the new enrollment data to analyze the major pharmacy chains’ position within the 22 major Part D plans that have preferred networks. As you will see, in 2019 CVS again looks poised to capture market share from Walgreens and Walmart, both of which lost position in this year’s networks. Kroger remains a major player, while Rite Aid holds a distant fourth place behind its peers.

One more fun fact about 2019 enrollment: CVS Health’s SilverScript Allure, the first Part D plan with point-of-sale (POS) rebates for brand-name drugs, bombed. Was it a noble experiment or an unappealing option designed to enroll few seniors in a plan design that CVS opposes?

Tuesday, January 22, 2019

CBI’s 15th Annual Life Sciences Accounting & Reporting Congress

CBI’s 15th Annual Life Sciences Accounting & Reporting Congress
March 20-22, 2019 | Loews Philadelphia Hotel | Philadelphia, PA
www.cbinet.com/accounting

As product pricing and contracting within the channel continues to tangle in complexity, and the gross-to-net “bubble” swells in size, leaders in Finance and Accounting are often at the front lines, making decisions around strategy and reporting.

CBI’s 15th Annual Life Sciences Accounting & Reporting Congress, the world’s top event for finance, accounting and business leaders within life sciences, provides the in-depth CPE education and networking with nearly 600 professionals.

Visit www.cbinet.com/accounting for further details and to register. Drug Channels readers will save $400 off the standard rate when they use promo code SNQ255 and register prior to February 8th.*

Hot topics include: SEC reporting, R&D financing, product pricing and contracting, critical audit matters, GTN, robotic process automation, valuation, collaborations and licensing, capital creation and allocation, SOX compliance, M&A, corporate tax, new product commercialization, FP&A, cybersecurity and data privacy, carve-outs and divestitures, revenue recognition, forecasting and financial planning, leases, and third-party oversight. You’ll return to the office ready to advance your organization to stay ahead in 2019.

You can sign up to view the agenda here, and see a snapshot of what you can expect:
  • CEO Fireside ChatCandid Conversation on Key Business and Industry Topics
    Featuring Cathy Engelbert, CEO, Deloitte and Heather Bresch, CEO, Mylan
  • CFO Keynote PanelLeading in Finance and Navigating the Course of Change
    Led by Laura Robinette, US Pharmaceutical and Life Sciences Assurance Leader, PwC and Featuring Chief Financial Officers from Endo, Impax/Amneal and Insmed Incorporated
  • Women’s Leadership Summit - Stories on Career Development, Leadership and Mentorship
    Featuring PwC, Shire, Covance, Ipsen and Solid Biosciences
  • Wall Street and Investment PanelImpactful Deals Impacting the Life Science Marketplace
    Featuring Achillion Pharmaceuticals, Bain Capital, Bank of America Merrill Lynch and PwC
Additional sessions to be presented by Alnylam Pharmaceuticals, Adamas Pharmaceuticals, Johnson & Johnson, Allergan, BMS, Ironwood Pharmaceuticals, Pfizer, Boston Scientific, Medtronic, AMAG Pharmaceuticals, AnaptysBio, Spero Therapeutics, and many others.

Visit www.cbinet.com/accounting for further details and to register. Drug Channels readers will save $400 off the standard rate when they use code SNQ255 and register prior to February 8th.*
CBI will see you there!

*Cannot be combined with other offers or used towards a current registration. Cannot be combined with special category rate or non-profit rates. Other restrictions may apply.


The content of Sponsored Posts does not necessarily reflect the views of Pembroke Consulting, Inc., Drug Channels, or any of its employees.