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Managed‑care contractors tell Senate panel state preferred drug list constrains formulary choices but ensures consistency

PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE · September 6, 2022
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Representatives from Empower Healthcare Solutions, CareSource, Arkansas Total Care and Summit Community Care told the Senate committee they are bound by the state's preferred drug list (PDL), described prior‑authorization exceptions for clinical necessity and noted small pharmacies may bear inventory risks; they urged streamlining prior authorization and offered to supply follow‑up cost data.

Four representatives of the state’s Medicaid managed‑care contractors told the Public Health, Welfare and Labor Committee that each contractually follows the Arkansas preferred drug list (PDL) and that exceptions exist for clinical necessity, allergies and temporary unavailability.

Jack Hopkins, director of government relations for Arkansas Total Care, Corey Cox for CareSource, Mitch Morris (CEO, Empower Healthcare Solutions) and Brad, government relations director for Summit Community Care, each said being bound to the state PDL creates consistency for members and allows rebate capture for the…

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