RED+BLUE STRATEGIES for EXPRESS SCRIPTS INC.

Health Issues HCR

Implementation of the Health Reform Law with a focus on regulations related to the medical loss ratio (MLR), Accountable Care Organizations, Transparency, E-prescribing and Health Information Technology. P.L. 112-25-Budget Control Act of 2011 Monitoring potential health-related offsets that could be included in related negotiations. Issues related to pathways for biogenerics in both domestic and international arenas Proposed OPM-focused policies in the Administration's 2012 Budget related to the utilization of Pharmacy Benefit Managers.

Contacted: U.S. Trade Representative (USTR); HOUSE OF REPRESENTATIVES; Health & Human Services, Dept of (HHS); Office of Management & Budget (OMB); SENATE; Centers For Medicare and Medicaid Services (CMS)

Medicare/Medicaid MMM

Monitoring ongoing Medicare and Medicaid regulations and guidance related to prescription medications, PBMs and related entities. Monitoring potential health-related offsets being considered as part of the deficit reduction package related to Medicare Part D and Medicaid pharmacy benefits.

Contacted: Office of Management & Budget (OMB); Centers For Medicare and Medicaid Services (CMS); SENATE; Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; U.S. Trade Representative (USTR)

Pharmacy PHA

H.R. 1946 - Preserving Our Hometown Independent Pharmacies Act of 2011, which creates and antitrust exemption for certain pharmacies. Rules, regulations and guidance specific to prescription drug pricing, generic utilization and specialty pharmacy.

Contacted: HOUSE OF REPRESENTATIVES; Office of Management & Budget (OMB); SENATE; Centers For Medicare and Medicaid Services (CMS); Health & Human Services, Dept of (HHS); U.S. Trade Representative (USTR)

Bills named: H.R. 1946 (112th)