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Anthem In-House PBM Will Draw On CVS But Retain Formulary Control

 
• By Cathy Kelly

Hybrid approach to pharmacy benefit management expected to save insurer $4bn annually after Anthem ends its relationship with Express Scripts in 2020. Integration of medical and Rx benefit data could lead to more value-based contracting.

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Anthem Inc. will control of all aspects of its formularies with a newly-created internal pharmacy benefit management unit, but the insurer will also tap CVS Health Corp. for some functions and to support manufacturer negotiations.

Anthem announced Oct. 18 it is forming an internal PBM called IngenioRx that will manage its formulary policies, rebate negotiations...

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