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How Upper Payment Limits on medicine increase the risk of diverted and counterfeit medicine in the drug supply

May 28, 2024
Posted in ,

States like Colorado are experimenting with Prescription Drug Affordability Boards to address the price of medicine, but solutions like Upper Payment Limits will yield multiple unintended consequences that will do more harm than good to patients.

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Colorado Prescription Drug Affordability Board Regulations

May 28, 2024
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CO-PDAB-Rule-PNG

May 28, 2024
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Counterfeit-Blood-Thinner-QR

May 28, 2024

Undercover purchases of fake blood thinner from Mexican pharmacies. (Pharmacy Security Institute)

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2023 PBM Contract

May 28, 2024

Example from PBM contract showing no payment of dispensing fees.

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Stelara example 3

May 28, 2024

Money-losing reimbursement AFTER a UPL
with PBM recouping lost profit.

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Stelara example 2

May 28, 2024

Money-losing reimbursement AFTER a UPL is put into place.

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Stelara example 1

May 28, 2024

Money-losing reimbursement before a UPL is put into place.

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Stelara-table

May 28, 2024

Pharmacy costs for Stelara compared to two PBM reimbursement contracts for Medicare Part D plans (Data from May 2024)

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Screenshot of "splash" page from Incognito featuring an ad for Adderall sales

May 28, 2024: Feds arrest alleged dark web market owner at JFK Airport

May 28, 2024
Posted in ,

The operator of Incognito is charged with engaging in a continuing criminal enterprise, narcotics conspiracy, money laundering and conspiracy to sell adulterated and misbranded medication.

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