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Background

Against a backdrop of rapidly rising drug prices and confusing market conditions, HR Policy Association formed the Pharmaceutical Coalition. The Coalition is made up nearly 60 companies within the Association representing more than 5 million lives with collective drug spending of approximately $5 billion. Coalition employers came together to remove the mystery from purchasing pharmacy benefits. They demonstrated the potential of leveraging their buying power to promote a more transparent model for purchasing and administering pharmaceutical benefits for employees, retirees, and their dependents.

The Coalition’s Transparency in Pharmaceutical Purchasing Solutions (TIPPS)SM initiative uses a comprehensive certification process to identify pharmacy benefit managers (PBMs) willing to meet the Coalition's rigorous transparency standards.

Currently, 11 PBMs have been certified as meeting TIPPS standards:

Aetna Pharmacy Management
CVS Caremark
Express Scripts, Inc.
Humana Pharmacy Solutions
Medco Health Solutions
MedImpact Healthcare Systems, Inc.
Prescription Solutions
Prime Therapeutics, LLC
RESTAT LLC
UnitedHealth Pharmaceutical Solutions
Walgreens Health Initiatives, Inc.

Additionally, in 2010 Aetna, Humana Pharmacy Solutions, MedImpact, Prime Therapeutics, and RESTAT have agreed to provide actual acquisition cost pricing for mail order drugs. This actual cost transparency will allow employers to benefit from the actual inventory cost that these PBMs pay for drugs.

TIPPS is only one several projects that the Coalition is developing to inject much needed transparency and value into our health care system.

To learn more, please contact Marisa L. Milton, Executive Director of the Coalition at mmilton@hrpolicy.org, or (202) 789-8670.




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