Case Studies

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  • Real-world Data Demonstrates Successful Transitions from Humira to Biosimilars

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  • PBM 101: Why the Model Matters

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  • Associate Resource Group Spotlight: Green Team

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  • PBM 101: The Three PBM Business Models

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  • An Automated Approach to Diagnosis Verification of GLP-1 RA for Type 2 Diabetes Mellitus (T2DM)

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  • Navitus to Remove Stelara® from Formulary July 1, 2025, Adds Biosimilars to Drive $120 Million in Savings 

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  • Achieving Outstanding Results with Tailored Network Strategies

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  • Breaking Through Barriers with Value-Based Plan Design

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  • Finding a Solution to Lower Prescription Drug Costs

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  • Empowered by Strategic Opportunities and Service Excellence

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  • QALYiQ Program Delivers Significant Savings for Both Members and Health Plans

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  • RISE: Reporting and Intervention for Stars Excellence

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  • Medication Therapy Management: Improving Health Outcomes and Reducing Cost

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  • Personalized Member Transitions: Creating a Smoother Benefit Transition

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  • Pharmacy and Practitioner Exclusions and How to Resolve Them

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  • Rx Money Saving Tips

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  • Fraud, Waste, and Abuse

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  • Participating Pharmacy Network Listing – National and Regional Chains/Groups

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