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Aetna: "Don't worry, Walmart is still an in-network pharmacy for 2019 MAPD and PDP products"

Posted by www.psmbrokerage.com Admin on Wed, Jan 16, 2019 @ 10:46 AM

Aetna: "Don't worry, Walmart is still an in-network pharmacy for 2019 MAPD and PDP products"

CVS Health recently announced that Walmart has opted to leave its pharmacy network for Commercial and Medicaid plans. As stated in the press release, this has no impact on Medicare plans. Please let your clients know:

  1. There’s no impact to our Medicare pharmacy network.
  2. Walmart continues to participate in the pharmacy network for our Medicare Advantage plans (MAPD), Prescription Drug Plans (PDP), Dual-eligible Special Needs Plans (DSNP) and Employer Group plans.
    • Walmart continues to be a preferred pharmacy for any Medicare Advantage plans that offer a preferred pharmacy network, as well as for Aetna Medicare Rx Saver (PDP) and Aetna Medicare Value Plus (PDP) plans.
    • Walmart will remain an in-network, non-preferred pharmacy for the Aetna Medicare Rx Select (PDP) plan.
  3. Aetna Medicare members can continue to receive their medicines at Walmart or at any of our 65,000+ network pharmacies nationwide.

If members have any questions, they can call Member Services using the number on their member ID card.

Additional Updates:

Tags: aetna, CVS, Walmart

Walmart to Leave CVS Network, Roiling Drugstores

Posted by www.psmbrokerage.com Admin on Wed, Jan 16, 2019 @ 10:30 AM

Walmart to Leave CVS Network, Roiling Drugstores

 Robert Langreth and Matthew Boyle / Bloomberg News / Employee Benefit Adviser

Walmart will leave CVS Health’s network that administers drug benefits for millions of Americans, in a dispute over costs that could roil the business of filling prescriptions.

Walmart, the world’s largest retail chain, was demanding higher reimbursements for its in-store pharmacies where customers who have CVS pharmacy-benefit management plans could pick up their prescriptions, CVS said in a statement announcing the split.

Walmart said that it was resisting efforts by CVS to steer consumers to certain pharmacies to have their prescriptions filled. The Bentonville, Arkansas, company said in an emailed statement that it was committed to giving customers access to affordable healthcare, “but we don’t want to give that value to the middle man.”

90(Image: Bloomberg)

“This issue underscores the problems that can arise when a PBM can exert their unregulated power to direct members on where to fill their scripts, disrupting patients’ healthcare,” the statement said. “Walmart is standing up to CVS’s behaviors that are putting pressure on pharmacies and disrupting patient care.” 

“Walmart’s requested rates would ultimately result in higher costs for our clients and consumers,” CVS Caremark President Derica Rice said in the statement. “We simply could not agree to their recent demands for an increase in reimbursement.” 

CVS isn’t only one of the U.S.’s biggest pharmacy chains, with almost 10,000 locations. It also oversees drug benefits for about 93 million people, including setting up networks of drugstores where they can pick up their prescriptions. 

Walmart is a major pharmacy operator as well, and dispenses drugs in most of its almost 5,000 locations. It has also flirted with getting more involved in the healthcare industry, looking at offering wellness services and other offerings that will become a key part of CVS’s business with its takeover of health insurer Aetna last year.

The split won’t affect Medicare beneficiaries in CVS’s Part D drug plans. It also won’t apply to Walmart’s Sam’s Club stores, CVS said in the statement.

CVS said the move won’t materially impact its 2019 results. News of the split was reported earlier by the Wall Street Journal.


Additional Updates:

Tags: CVS, Walmart

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