by Five Rivers Rx | Jan 3, 2019 | Industry News, Optum Rx
PBMs grew with conviction over the past decade but the tide has begun to turn: state and federal government, as well as PBM customers, have taken a peek behind the curtain and have already started to take action. SMLXL Executive Office Prohibits PBM...
by Five Rivers Rx | Dec 11, 2018 | Industry News, Optum Rx, VAWD
After an eventful 27 months, OptumRx’s VAWD requirement will likely be fully enforced on vendors of OptumRx’s pharmacy network, starting January 1, 2019. OptumRx Extension Letters On December 10, 2018 OptumRx confirmed that the company will not be...
by Five Rivers Rx | Nov 14, 2018 | Industry News, Optum Rx, VAWD
Three members of AIPW (“Movants”) have filed to reopen the case against OptumRx which challenges the validity and legality of OptumRx’s VAWD Accreditation requirement for the suppliers of their network pharmacies. Original Filing, November 2016 The Association of...
by Five Rivers Rx | Sep 19, 2018 | Optum Rx, VAWD
In recent months, the reversals on policy regarding awarding extensions to the highly controversial PBM requirement has caused a lot of confusion. August 2016 through March 2018: Unrestricted Extensions POLICY 1: With a previous application to VAWD, a company will...
by Five Rivers Rx | Aug 28, 2018 | Industry News, Optum Rx
Attacking the Last Line of Defense for Independent Pharmacy Recent industry events and further consolidation of the PSAO industry has led to increased pressure on independent pharmacy and drug distributors. What is a PSAO? A PSAO negotiates for pharmacy against PBMs...
by Five Rivers Rx | Aug 16, 2018 | Five Rivers, Optum Rx, VAWD
1. Are there states other than NY that have legislation that makes it difficult for Optum to enforce VAWD requirement? At this time, we have only verified that New York State has a bill in place to limit the control a PBM has over reimbursements in regards to the...
