Official Launch of Advanced Utilization Management Program

Emily Torgerson  •   March 31, 2021

The Cooperative’s new Advanced Utilization Management (UM) Program has officially launched! National CooperativeRx constantly monitors the pharmaceutical marketplace for new therapies in the pipeline. We have implemented our opt-in Advanced UM program to offer our member groups an opportunity to employ our recommendations on a quarterly basis to better adapt their plans to the rapidly

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10 Smart Questions Self-Funded Plan Sponsors Should Be Asking

Kyle Kapusta  •   February 23, 2021

Ensure Proper Rebate Benefits for Your Company Prescription drug costs are at an all-time high with no end in sight for both self-funded plan sponsors and the participants they represent. 79% of respondents in a recent Kaiser Family Foundation Health Tracking Poll felt that the cost of prescription drugs was unreasonable. To help offset the

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What to Do with Unwanted Medications?

Emily Torgerson  •   February 3, 2021

The number of unused medications in American households has significantly increased in recent years, resulting in excess waste. According to a recent study, approximately two out of three prescription medications were reported unused; common reasons include being weary of side effects, forgetfulness, and the patient’s disease or condition improving.1 If you fall into any of

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Supreme Court Ruling Raises Concern Over State Legislative Action

Josh Bindl  •   January 5, 2021

U.S. Supreme Court Ruling on ERISA The Employee Retirement Income Security Act of 1974 (ERISA) sets minimum standards for most private health plans and preempts states from enforcing coverage mandates on these plans. Since its passage, there have been many challenges to ERISA. The U.S. Supreme Court has consistently held firm on the power of

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November is American Diabetes Month

Emily Torgerson  •   November 10, 2020

diabetes   noun di·​a·​be·​tes Definition of diabetes : a chronic (long-lasting) health condition that affects how your body turns food into energy.1 November is American Diabetes Month and now more than ever it is important to know how to effectively manage diabetes. Keep reading to learn more about the condition that affects one in 10 Americans and how

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Celebrating Our Pharmacists Today and Every Day!

Emily Torgerson  •   October 29, 2020

We couldn’t close out October without recognizing American Pharmacists Month, as well as our incredible on-staff pharmacists who strive daily to improve our members’ bottom line and our participants’ continued good health and well-being. Whether you work with them regularly or are hearing their names for the first time, keep scrolling to learn more about

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Specialty High-Dollar Claim Review Program: Launch Date & Pilot Savings

Emily Torgerson  •   September 30, 2020

The week is finally here! Our specialty high-dollar claim review program launches this Thursday, October 1. This program will focus on reviewing indication-specific dosing of specialty medications and optimizing dose regimens for efficiency. Our Cooperative pharmacists will assess all specialty claims above $10,000 to identify and resolve issues at no additional cost to members who

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Flu Shots Are Necessary in the Age of COVID-19

Wayne Salverda  •   September 2, 2020

September marks the beginning of this year’s flu season. Retail pharmacies began receiving inventory for it in middle to late August. In today’s world, where every newspaper headline and media bit read the latest on the coronavirus (COVID-19) deaths, treatments, and potential vaccines, it’s easy to lose track of the importance of protecting yourself against

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Executive Order on Prescription Drug Prices (2020)

Josh Bindl  •   July 29, 2020

Reform of prescription drug prices is badly needed for patients and plan sponsors. Various complexities already make reforming this industry difficult. On July 24, 2020, President Trump announced executive orders intended to address the issue of high prescription drug prices in the United States. These actions are similar to reforms first outlined in The Trump

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New Specialty High-Dollar Claim Review Program: 10/1/20

Emily Torgerson  •   June 24, 2020

It is no secret that specialty pharmacy spend is growing and makes up the majority of many plans’ total pharmacy spend. With so much money at stake, it is apparent that more oversight of specialty spend from independent clinical experts is needed. This is where National CooperativeRx comes in. As a watchdog for our members,

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