CalPERS board member acknowledges problems after switch to CVS Caremark, pledges follow-up CalPERS trustee Yvonne Walker told retirees the move from OptumRx to CVS Caremark affected about 580,000 members, acknowledged rollout problems including higher co-pays and new prior-authorization rules, and promised staff follow-up and a direct contact for urgent cases.

CalPERS board member Yvonne Walker admits the switch to CVS Caremark has caused chaos for 580,000 retirees, with reports of delayed shipments and increased costs.

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport

CalPERS members report widespread problems after switch to SilverScript; board rep. pledges follow‑up Retirees told CalPERS at a Jan. 31 town hall that a January switch from Optum to SilverScript (CVS) left prescriptions missing, prior authorizations lost and customer service unresponsive. Yvonne Walker said CalPERS will route cases to its health team and that staff are working to resolve glitches.

CalPERS members are facing a wave of issues after the switch to SilverScript, with lost prescriptions and unresponsive customer service leaving many frustrated.

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#CA #MemberSupport #PharmacyBenefits #CitizenPortal

CalPERS members warned about pharmacy switch, telehealth changes and higher premiums; retirees report coverage gaps CalPERS told members the pharmacy benefits manager will move to CVS on Jan. 1 and that pandemic-era Medicare telehealth flexibilities ended Sept. 30, 2025. Retirees reported denied claims, formulary exclusions and steep out-of-pocket costs.

CalPERS members are facing big changes as CVS takes over pharmacy benefits in January, raising concerns about coverage gaps and rising premiums.

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#CA #CitizenPortal #RetireeSupport #PharmacyBenefits

County approves piggybacked pharmacy benefit agreement estimated at $7.9 million annually Polk County authorized a piggyback contract with LucyRx Health Solutions to provide pharmacy benefit management for Polk Healthcare Plan members, citing projected annual savings from Pinellas County’s larger contract terms.

Polk County has just approved a $7.9 million piggyback agreement with LucyRx Health Solutions, unlocking potential annual savings of $379,000 for its healthcare plan members!

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#PolkCounty #FL #CitizenPortal #CostSavings #HealthcareManagement #PharmacyBenefits

CalPERS Transitions to CVS as New Pharmacy Benefit Manager Amid Authorization Changes CalPERS members will experience authorization changes as CVS takes over pharmacy benefits.

CalPERS is making a pivotal shift to CVS Caremark as its new Pharmacy Benefits Manager, introducing key changes that could impact your medication access and authorization requirements.

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#CA #CitizenPortal #PharmacyBenefits

CVS Outlines Prescription Transfer Process from OptumRx for CalPERS Members CVS will automatically transfer most prescriptions from OptumRx, ensuring continuity of care.

CalPERS members will experience a seamless transition to CVS Caremark, ensuring that most prescriptions are automatically transferred—no action needed on your part!

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#CA #CitizenPortal #PharmacyBenefits

CalPERS Transitions Pharmacy Benefits to CVS Caremark for Members Starting January CalPERS members will automatically transfer pharmacy benefits to CVS Caremark effective January 1.

CalPERS is making a major shift in pharmacy benefits by partnering with CVS Caremark, giving members access to over 64,000 pharmacies nationwide starting January 1, 2026!

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport

CVS Offers Prior Authorization Continuity and 90-Day Prescription Filling for CalPERS Members CVS will honor prior authorizations and allow 90-day prescriptions at local pharmacies for members.

CalPERS is making a major shift to CVS Caremark in 2025, promising improved access to medications and the convenience of 90-day prescriptions!

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport

CVS Caremark to Manage Medicare Pharmacy Benefits Starting January 2026 CVS Caremark will provide pharmacy benefits for Medicare plans, ensuring smooth member transitions.

CalPERS is shaking up pharmacy benefits by teaming up with CVS Caremark, promising a smoother experience for members starting January 2026—without a direct vote from those affected.

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport

New report warns of double-digit hikes in pharmacy costs A primary contributor is the lack of competition in the pharmaceutical market, especially for brand-name drugs protected by patents.

The survey identified the top five #strategies that respondents (including #employers) are using to mitigate #pharmaceutical expenses without compromising the quality of care. #RxCosts #EmployeeBenefits #PharmacyBenefits

Pharmacy Contract Review Reveals $600K Savings Opportunity with Hopkin Health Trust Review shows potential $600K savings by switching to Hopkin Health Trust by January.

Highlands County School Board workshops reveal a potential $600K savings by reevaluating pharmacy benefits—could a new provider be the key to smarter spending?

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#FL #CitizenPortal #BudgetEfficiency #HealthcareCosts #PharmacyBenefits

Connecticut enacts good faith duties for pharmacy benefits managers under HB 7192 New law mandates pharmacy benefits managers to act with good faith towards health carriers

Connecticut's new law holds pharmacy benefits managers accountable for acting in good faith, reshaping the landscape of healthcare transparency!

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#CT #CitizenPortal #GoodFaithDuties #HealthcareReform #PharmacyBenefits

CalPERS outlines strategies for improved healthcare access and accurate provider directories CalPERS plans to enhance healthcare access and accuracy of provider directories for members.

CalPERS is taking bold steps to revamp healthcare access and ensure provider directories are up-to-date, promising a future of better care for its members.

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#CA #CitizenPortal #LegislativeReform #PharmacyBenefits

Ohio mandates pharmacy benefit managers to certify compliance with new regulations Pharmacy benefit managers must certify compliance with state regulations by March 1 annually.

Ohio is shaking up the pharmacy industry by requiring benefit managers to certify their compliance with new regulations by March 1 each year!

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#OH #CitizenPortal #HealthcareRegulations #PharmacyBenefits #ComplianceAwareness

Senator Scheibel presents SB 389 to streamline Medicaid pharmacy benefits in Nevada Senate Bill 389 aims to implement a single pharmacy benefit manager for Medicaid in Nevada.

Senate Bill 389 is on the table, promising to revolutionize Nevada's Medicaid pharmacy benefits by consolidating to a single manager, potentially saving the state millions and improving access to medications.

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#NV #HealthcareTransparency #CitizenPortal #PharmacyBenefits

Senator Melanie Scheibel presents Senate Bill 389 to streamline Medicaid pharmacy management Senate Bill 389 aims to consolidate Medicaid pharmacy benefits under one manager for cost savings.

Nevada is on the brink of a healthcare revolution as Senate Bill 389 aims to simplify Medicaid pharmacy management, promising major cost savings and enhanced transparency for patients.

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#NV #CitizenPortal #PharmacyBenefits #MedicaidReform #NevadaHealthcare #CostEfficiency

Oklahoma enforces transparency rules for pharmacy benefits managers contracts New regulations mandate pharmacy benefits managers provide full disclosure to insurers and authorities

Oklahoma's new Senate Bill 773 could revolutionize how pharmacy benefits managers operate, promising greater transparency and potentially lower drug costs for residents.

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#OK #ConsumerProtection #CitizenPortal #HealthcareTransparency #PharmacyBenefits

and Del. Kilgore, R-Scott County, are members of the General Assembly). #medications #pharmacies #druginsurance #healthinsurance #PBMs #pharmacybenefits #healthcare #virginia #healthbenefits #capitalism #medicare #medicaid #ACA

Utah lawmakers propose bill to pass pharmacy rebates directly to patients PEHP proposes passing pharmacy rebates directly to patients, reducing out-of-pocket medication costs.

Utah lawmakers are pushing for a bold reform that could finally ensure patients receive the full benefits of pharmacy rebates right at the counter, cutting their medication costs significantly.

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#UT #CitizenPortal #PharmacyBenefits #HealthcareReform #PatientAccess

FTC Sues Prescription Drug Middlemen for Artificially Inflating Insulin Drug Prices Today, the Federal Trade Commission brought action against the three largest prescription drug benefit managers (PBMs)—Caremark Rx, Express Scripts (ESI), and OptumRx—and their affiliated group pur

This could be huge.
#PBM #Pharma #Healthcare #PharmacyBenefits

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