Imagine this: Another PBM – multi million settlement because of OVER CHARGING state’s Medicaid ?

Centene Corp. reaches $13.7M settlement with New Mexico over pharmacy benefit practices https://www.bizjournals.com/stlouis/news/2022/06/14/centene-million-settlement-new-mexico-pharmacy.html New Mexico is the latest state where Centene Corp. (NYSE: CNC) has reached a settlement over an investigation into its pharmacy benefit management practices for the Medicaid program. Attorney General Hector Balderas on Monday announced a $13.7 million settlement with Centene over […]

States are PUSHING BACK on DEA wanting to do “data mining” in their PDMP database without a warrant from a judge

The Government Needs to Get a Warrant if It Wants Access to Our Private Health Information Signing Of Arizona SB1469 on Controlled Substances Monitoring Search Warrants, into Law by Governor Douglas Ducey The Drug Enforcement Administration is once again trying to access private prescription records of patients — this time in New Hampshire — without a warrant, […]

Harms of Cancer Blood Tests? FTC Healthcare Crackdown: More Smoke Than Fire?

Harms of Cancer Blood Tests? FTC Healthcare Crackdown: More Smoke Than Fire? https://www.medpagetoday.com/special-reports/exclusives/99249 Welcome to the latest edition of Investigative Roundup, highlighting some of the best investigative reporting on healthcare each week. New Blood Tests for Cancer May Carry Risks New blood tests, which look for tiny shards of cancer DNA or proteins, are “a […]

More RED FLAGS rules being used by TX Board of Pharmacy – LEGAL or UNCONSTITUTIONAL ?

This appears to be from 2018,  I find it interesting that the TXBOP will hold a PHARMACY responsible for the failure to detect  patterns  of  inappropriate dispensing of prescription drugs is unprofessional practice and constitutes grounds for disciplinary action.  A person/entity that has a pharmacy permit to operate a pharmacy, can only do so.. if […]

PBM wanting chosen med to be entirely on COST… improved clinical outcomes… may be a distance SECOND CHOICE

Notice that this is a PBM (Express Scripts) is owned by the insurance company https://www.pharmacytimes.com/view/cigna-completes-purchase-of-express-scripts and has its own mail order pharmacy. Notice what was read from the letter from Express Scripts to the prescriber that they were MANDATING step therapy – step therapy is starting with the least expensive – or the PBM gets […]