Your Pharmacy Benefit: Make it Work for You!
This 16-page booklet offers helpful advice for those with prescription drug coverage through an employer, union, or other group plan, or who are eligible for prescription drug coverage under Medicare. Topics include:
- Choose Your Plan walks through the steps in comparing and choosing the benefit options for prescriptions.
- Use Your Plan explains how to handle plan challenges, such as troubleshooting problems filling prescriptions, and how to file appeals for coverage (includes a sample appeals letter).
- More Options outlines additional coverage options for people who are eligible for Medicare.
- Resources offers a list of agencies, websites and tips to learn more about Medicare benefits.
This booklet is also available in Spanish.
E.V.I.dently May 2013
Message From NPCThe Role of Pharmaceuticals in Health Insurance ExchangesOne of the most pressing issues in the implementation of the Affordable Care...A Look at Rx Coverage and Cost in the New Health Insurance Exchanges
National Pharmaceutical Chief Science Officer Dr. Robert Dubois will lead a panel discussion, "Capturing the Value of Pharmaceuticals--A Look at Rx...NPC Welcomes Dr. Bryan Luce as PCORI Chief Science Officer
The National Pharmaceutical Council today welcomed the news that the Patient-Centered Outcomes Research Institute (PCORI) has appointed its first...Evidence, Coverage and Incentives: Challenges in Personalized Medicine
Personalized medicine is greatly changing the way medicine is practiced, as well as how drugs and biologics are developed. Today patients are...Study Quantifies Impact of Pharmaceuticals on Enhanced Productivity
(WASHINGTON, DC, August 1, 2012)–The costs to employers of chronic health conditions on employee productivity are well documented, but few studies...New Survey Shows Employers Eyeing CER, PCORI for Health Information
Washington, DC, June 22, 2011--Employers are aware of comparative effectiveness research (CER) and its potential to answer critical questions about...Study Sheds New Light on the Impact of Medication Adherence, Multiple Chronic Diseases and Health Risks in the Workplace
(Chicago -- June 16, 2011) A new study suggests that while medication adherence is a critical element in reducing the impact of illness, employers...New Report Urges Employers, Researchers and Policy Makers to Rethink How They Measure Health Care Results
San Francisco, CA & Washington, DC (February 28, 2011) -- Understanding the full value of improved health, including improvements in workforce...Framework Helps ACOs Leverage Pharmaceuticals to Realize Quality, Cost Goals
Medications are more than an item on the balance sheet for health care providers. Pharmaceuticals offer a route to manage costs while achieving...Comparative Effectiveness Research and the Changing Health Care Landscape
This content appeared in the January 2, 2012 print edition of Chain Drug Review. In the span of just one year, the health care landscape has...Linking Chronic Conditions to Medication Adherence and Productivity
It's no secret that chronic disease is the major driver of health care costs in the United States, accounting for two-thirds of the rise in health...Comparative Effectiveness Research: What Will Employers Do With the Information?
For years now, employers have expressed concern about the cost of providing health care to their employees and its impact on the competitiveness of...How Do Payers Consider Individual Treatment Effects?
Dr. Robert Epstein, former chief medical officer and senior vice president of medical affairs at Medco Health, explains that heterogeneity, or...NPC/Benfield CER Employer Survey Results
Chuck Reynolds, president of the employer practice at the Benfield Group, discusses the findings from his NPC-sponsored research, "Comparative...Comparative Effectiveness Research in Medicare Decision-Making
At the June 2011 Drug Information Association Annual Meeting, NPC asked Dr. Marcel Salive for his thoughts on how comparative effectiveness research...IBI's Tom Parry on Employers and Health Investments
Integrated Benefits Institute President Tom Parry, PhD, sat down with NPC to discuss how employers today are defining the value of their health...A Look at Rx Coverage and Cost in the New Health Insurance Exchanges
National Pharmaceutical Chief Science Officer Dr. Robert Dubois will lead a panel discussion, "Capturing the Value of Pharmaceuticals--A Look at Rx...NPC Welcomes Dr. Bryan Luce as PCORI Chief Science Officer
The National Pharmaceutical Council today welcomed the news that the Patient-Centered Outcomes Research Institute (PCORI) has appointed its first...Evidence, Coverage and Incentives: Challenges in Personalized Medicine
Personalized medicine is greatly changing the way medicine is practiced, as well as how drugs and biologics are developed. Today patients are...NPC to Present at IBI/NBCH 2013 Health and Productivity Forum
NPC Director of Policy Research Dr. Daryl Pritchard will speak on employer challenges in addressing specialty pharmacy-related impacts at the...Research
Formulary Limitations and the Elderly: Results from the Managed Care Outcomes Project
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Why the Elderly Need Individualized Pharmaceutical Care
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Coordinated Pharmaceutical Therapy in Chronic Care: Five Innovative Programs (Executive Summary)
Numerous studies indicate the limitations of a compo
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Commentary & Testimony
Framework Helps ACOs Leverage Pharmaceuticals to Realize Quality, Cost Goals
Comparative Effectiveness Research and the Changing Health Care Landscape
Linking Chronic Conditions to Medication Adherence and Productivity
Comparative Effectiveness Research: What Will Employers Do With the Information?
Synergies at Work: Realizing the Full Value of Health Investments