April 23, 2015 | Jennifer Guinan
Data-Driven Insights
February 4, 2015 | Jennifer Guinan
Specialty Pharmacy fees
[fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][info_box title=”” image=”” animate=””]How are other companies treating Specialty Pharmacies Fees (including dispensing fees, prior authorization support services, data fees and shipping fees)? As a GTN deduction or fee for service expense item?[/info_box] [/fusion_builder_column][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][divider height=”30″ style=”default” line=”default” themecolor=”1″] Share Response A We treat it as both and it is determined based on what is driving the […]
December 17, 2014 | Jennifer Guinan
Coverage Gap Pipeline Reserve
October 30, 2014 | Jennifer Guinan
CA Managed Medicaid Share:
CA Managed Medicaid Share (test ajay 2): Notes from a conversation with California Dept. of Health Care Services (Medi-Cal), Robert Shun, the Drug Rebate Branch Chief at California Medicaid; Robert’s understanding that approximately 90% of the pharmacy claims have been processed and manufacturers have been invoiced for claims all the way back to 2010 in the current invoice cycle. Robert stated that Physician administered claims (PADs) processing is only about 40% complete. PADs are typically injected drugs administered in a physician’s office and billed with j-codes. PAD claims were held up by a system implementation. This back-log won’t be cleared […]