Monday, August 11, 2014
Scripts Holding Co.'s 2015 formulary exclusions offer hope
that companies can renegotiate once-excluded drugs back into coverage. But the
pharmacy benefits manager appears to be expanding the number of drugs and drug
classes it scrutinizes.
Scripts released its 2015 formulary on Aug. 1. The list adds 10 drug classes
and 25 product exclusions for a total of 66 products excluded from the
formulary. The changes to the new list suggest new drugs could get excluded for
lack of time to negotiate, even if they are priced competitively. And with the
PBM continuing to add therapeutic categories to its list, old drugs aren't necessarily
safe either (see "Express Scripts Exclusions Update," page 9).