CVS Health addresses Ohio Medicaid pricing requirements

BY Sandra Levy

CVS Health has issued a statement saying it is actively working with its Ohio Managed Medicaid clients to restructure its contracts to implement the Ohio Department of Medicaid’s new “pass-through” pricing model requirement, effective January 1, 2019.

“Contrary to an inaccurate news report in The Columbus Dispatch, which was later picked up on social media, the pharmacy benefit managers (PBMs) servicing Ohio’s Managed Medicaid Plans have not been “fired,” the company said, in a statement. “PBMs have saved Ohio taxpayers $145 million annually through the services they provide to the state’s Medicaid managed care plans. CVS Health will continue to help its Ohio Medicaid clients manage their drug costs and improve their members’ health outcomes in 2019 and beyond.”


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