Nine PBMs Add TrumpRx Cash Prices to Benefit Tools for Medicare and Medicaid Plans
Updated
Updated · Fox Business · Aug 13
Nine PBMs Add TrumpRx Cash Prices to Benefit Tools for Medicare and Medicaid Plans
1 articles · Updated · Fox Business · Aug 13
Summary
Nine major pharmacy benefit managers and PCMA agreed to display TrumpRx cash prices within benefit tools, letting patients compare those prices with their in-network plan cost for the same prescription.
The integration is aimed at drug-price transparency: CMS Administrator Mehmet Oz said showing negotiated benefit prices alongside cash prices should help patients find cheaper options and increase competition.
CVS Health, Express Scripts, OptumRx, Humana and five other PBMs are participating, with VytlOne also joining; the effort will reach commercial, Medicare and Medicaid enrollees.
All drugs listed on TrumpRx are covered, and PBMs may surface the prices either through real-time benefit tools or other methods, extending a platform the Trump administration launched earlier this year.