Pharmacy benefit managers are at the forefront of implementing innovative contracting techniques that better align the cost of medications with their value. By offering additional tools to manage specialty drugs, including the use of specialty pharmacies, PBMs and payers are improving the quality and continuity of care patients receive, while ensuring they derive the greatest value from their medications. Over the next 10 years, PBMs and specialty pharmacies will save an estimated total of $654 billion on drug costs for health plan sponsors.

The PCMA PBM Policy Forum is designed for policy makers and staff from Capitol Hill and the Administration, as well as healthcare and drug industry advocates from think tanks, patient advocacy groups, and industry trade associations.

Conference Program Book

PBM Policy Forum 2014 Agenda

Wednesday, April 30
1:00 pm - 1:10 pm

Welcome Remarks

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Mark Merritt, President & Chief Executive Officer, PCMA

1:10 pm - 1:45 pm

Essential Drug Management Tools for the Era of Surging Treatment Costs

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William Fleming, President, Humana Pharmacy Solutions, Humana, Inc.

Jon Roberts, Executive Vice President & President, Caremark Pharmacy Services, CVS Caremark

1:45 pm - 2:00 pm

Prescription Drug Abuse: Working together to combat the epidemic

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Representative Gus M. Bilirakis – (R-Florida), U.S. Congress

2:00 pm - 2:15 pm

Maximizing Access to Medicines in the Age of Consumer Choice

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Representative Tammy Duckworth – (D-Illinois), U.S. Congress

2:15 pm - 2:40 pm

Harnessing Competition to Reduce Costs

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Dan Gilman, Attorney-Advisor, Federal Trade Commission, Office of Policy Planning

2:40 pm - 3:20 pm

Specialty Drugs: Hepatitis C Therapies Are Only the Beginning

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Duane Barnes, Senior Vice President, Enterprise Operations, Prime Therapeutics

Steve Miller, Chief Medical Officer, Express Scripts

3:20 pm - 3:45 pm

Breakthrough Treatments: Sovaldi and its Impact on State Medicaid Programs

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Matt Salo, Executive Director, National Association of Medicaid Directors

3:45 pm - 4:15 pm

Medicare Part D After a Decade: What has driven success thus far, and what to consider for future management of the program

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Tom Scully, Senior Counsel, Alston & Bird, LLP & Former Administrator, Centers for Medicare and Medicaid Services