2021 Outlook: Five Themes That Will Define Co-Pay Assistance

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 As the pharmaceutical industry turns the calendar to 2021, co-pay assistance faces a handful of significant considerations that will define how successful manufacturer programs are in the year ahead. From legislative and regulatory issues to the shift toward integrated offerings and interoperable technologies, co-pay has become a complex facet of any brand’s patient access strategy. Understanding these themes and developing a detailed strategy around them will be key to positioning a program for success both in [...]

2021 Outlook: Five Themes That Will Define Co-Pay Assistance2021-09-28T13:17:48-04:00

CMS Releases Final Rule Impacting Co-Pay Assistance Programs and Best Price

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 The Centers for Medicare and Medicaid Services (CMS) published a final rule on December 21, 2020, requiring pharmaceutical manufacturers to ensure the benefit of co-pay assistance programs goes only to patients in order to maintain the exclusion from best price reporting. This rule directly impacts co-pay accumulator scenarios, where PBMs do not count the value of manufacturer coupons toward patients’ cost-sharing obligation. The portion of the rule impacting co-pay programs and best price has an effective [...]

CMS Releases Final Rule Impacting Co-Pay Assistance Programs and Best Price2021-09-28T13:14:11-04:00

New Payer Policies Introduce Co-Pay Accumulators to Medical Benefit Products: Implications for Manufacturer Programs

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 In early October 2020, UnitedHealthcare (UHC) announced it will require network providers to report patient use of manufacturer copay assistance offers for products covered under the major medical benefit beginning in 2021. There is also speculation that other payers will follow suit and introduce similar policies. The result of these changes is that co-pay accumulators, which to date have been predominantly a pharmacy benefit issue, will now become a critical consideration for products covered under the medical [...]

New Payer Policies Introduce Co-Pay Accumulators to Medical Benefit Products: Implications for Manufacturer Programs2021-09-28T13:20:47-04:00

TC Script: Navigating Supply Chain During COVID-19

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 The pharmaceutical supply chain has never experienced a year like 2020. Each day seems to present a new set of challenges. During January and February, the concern was seemingly simple, and in retrospect, a bit naïve. Back then, our only concern was how to handle supply chain slowdowns from major manufacturing centers located in Asia, Western Europe, and the Middle East. Today, our challenges are much more complex, and it looks like the future is still [...]

TC Script: Navigating Supply Chain During COVID-192021-09-28T13:15:55-04:00

Clinical Supply: Time and Cost Savings

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 When a pharmaceutical sponsor adds a new study to its pipeline, there are many things to consider. However, study architects must ask—and get solid answers to—two very important questions in particular: 1) What is the projected total study cost? 2) Do we have enough people to support it? Clinical trials carry significant financial risks for pharmaceutical sponsors and study managers. Assumed inventory, carrying costs, overages, drug expiry management, temperature excursions, drug recalls, and losses due to [...]

Clinical Supply: Time and Cost Savings2021-09-28T13:38:07-04:00

Co-Pay Accumulators & Maximizers: Your Questions Answered, PT. 3

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 Welcome to Part III in our series of Q&A in response to the webcast presented on June 22, 2020 titled The Future of Co-Pay Accumulators and Maximizers. Over the past few weeks, we have responded to several questions from the webcast audience that we did not have time to answer during the live broadcast. View our previous installments of this series below, along with answers to this week’s set of questions. Part I – July 1, [...]

Co-Pay Accumulators & Maximizers: Your Questions Answered, PT. 32021-01-16T14:16:12-05:00

TrialCard Submits Comments Opposing CMS Best Price Proposed Rule

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 TrialCard has submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the proposed rule, CMS-2482-P—Medicaid Program; Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements.   A provision of this proposed rule requires pharmaceutical manufacturers to include the value of vouchers and coupons they offer as patient cost-sharing assistance in their calculation of [...]

TrialCard Submits Comments Opposing CMS Best Price Proposed Rule2021-01-16T14:16:23-05:00

Massachusetts Study Highlights Co-Pay Assistance as Positively Impacting Patient Access & Adherence

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 On July 6, 2020, the Massachusetts Health Policy Commission released its study examining the use and impact of prescription drug coupons in Massachusetts. This study was required as part of the extension to the Massachusetts law permitting manufacturer drug coupons (co-pay assistance offers) or vouchers to reduce patients’ cost-sharing obligation that was previously due to expire at the end of 2019. The purpose of the study was to evaluate the effect of drug coupons and product [...]

Massachusetts Study Highlights Co-Pay Assistance as Positively Impacting Patient Access & Adherence2021-01-16T14:16:32-05:00

Co-Pay Accumulators & Maximizers: Your Questions Answered, PT. 2

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 Welcome to Part II in our series of Q&A in response to our webcast presented by Jason Zemcik on June 22, 2020, entitled, The Future of Co-Pay Accumulators and Maximizers. Last week, Jason responded to several questions from our webcast audience and today I will respond to the next set of questions that we received during the webcast. For maximizer programs, where are plans sourcing the annual benefit maximum, specifically in cases where manufacturers are not [...]

Co-Pay Accumulators & Maximizers: Your Questions Answered, PT. 22021-05-24T15:39:40-04:00

Co-Pay Accumulators & Maximizers: Your Questions Answered, PT. 1

The New Sales Model: Virtual Engagement in the Time of COVID-19 August 10th, 2020 On June 22, 2020, I presented a live webinar titled The Future of Co-pay Accumulators and Maximizers: Understanding New Rules and Emerging Trends to Devise an Effective Mitigation Strategy in 2021. We had a great turnout from across the pharmaceutical industry and received several questions from attendees during the Q&A portion. In the coming weeks, Rick Fry, another TrialCard colleague who has extensive experience on this topic, will join me in answering several questions that weren’t [...]

Co-Pay Accumulators & Maximizers: Your Questions Answered, PT. 12021-01-21T16:19:29-05:00
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