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Laura Joszt, Managing Editor at The American Journal of Managed Care. Welcome to This Week in Managed Care from the Managed Markets News Network

STAT recently published our op-ed: State drug importation laws undermine the process that keeps our supply chain safe...there is no legal or operational way of transforming a drug packaged for a foreign market into a drug that meets the U.S. requirements of our in-progress track-and-trace system. What’s more, there is no way to alter the law to enable importation without undermining the law’s purpose and value...States can't wish away the requirements of a significant federal law. Either we have a secure drug supply chain or we don’t...READ MORE

• Why the U.S. is building a track-and-trace system
• How track-and-trace works
• Importation undermines the track-and-trace system
• Importation enables counterfeits
• Forgetting the lessons

Nicole Grassano, PTNN, Pharmacy Week in Review, this weekly video program provides our readers with an in-depth review of the latest news, product approvals, FDA rulings and more.

Diverting border security resources to address the “humanitarian need” of migrants is leading to record-high levels of illicit drug smuggling across the U.S.-Mexico border, said James W. Carroll, director of the U.S. Office of Drug Control Policy...Carroll said, “I couldn’t tell you how bad this is. Seizures are down, and it’s not because there are less drugs coming in. It’s because their attention has to be diverted because of the humanitarian need, but what that means is more drugs are coming in than ever before.”...READ MORE

Nicole Grassano, PTNN, Pharmacy Week in Review, this weekly video program provides our readers with an in-depth review of the latest news, product approvals, FDA rulings and more.

The past business practices of biopharma companies like Endo and Teva continue to be under scrutiny. The scope of pending legal actions is difficult to quantify, given that both governments and individuals are involved, and the actions have now extended to price fixing as well as marketing...Using Iqvia prescription data, Purdue Pharma's $270 million settlement with Oklahoma and Teva's subsequent $85 million deal as benchmarks, Fadia calculated the total liability to be $4 billion for Endo, $2.5 billion for Teva, $1.2 billion for Amneal and $800 million for Mylan. That estimate relates to improper marketing of opioids...On the price-fixing charges, Fadia built an estimate around Iqvia prescriptions and potential excess sales that could have occurred on 114 different drugs, and then applied treble damages. In this scenario, Teva's liability could be as much as $3.1 billion, Mylan's $2.8 billion, Endo's $265 million and Amneal's $55 million…READ MORE

Product safety is a multifaceted issue for any retailer dealing with the pharmacy and prescriptions, and the systems that are in place to protect the quality and integrity of the goods offered constantly are evolving to strengthen the industry’s defenses...One of the key loopholes between consumers and the dangers of unsafe products, however, is the potential for the introduction of items from other countries that fail to meet the rigorous safety standards of the United States...The Food Safety Modernization Act, which took effect in 2011, sought to close that gap by imposing tighter regulation around the import of foods and ingredients from overseas...Market pressures in the pharmaceutical industry, however, have led officials at both the state and federal levels to explore the possibility of bringing drugs in from other countries at a lower cost, potentially circumventing the Food and Drug Administration’s close oversight of U.S.-made medications...the...National Association of Chain Drug Stores see several potential problems with the import of prescription medications from other countries, including:

Issues around the adequacy, consistency and integrity of the supply;

Issues around quality and safety;

Problems with maintaining dual inventories inside pharmacies;

Burdensome testing requirements;

Costs of establishing an infrastructure for imported drugs; and

Liabilities for injuries caused by imported drugs...READ MORE

The Trump administration took a step...toward allowing importation of medicines from Canada, an action the president has advocated as a way to bring cheaper prescription drugs to Americans, but the pharmaceutical industry was quick to resist the move...The U.S. Department of Health and Human Services said it and the Food and Drug Administration will propose a rule that will allow it to authorize states and other groups to pursue pilot projects related to importing drugs from Canada...READ MORE

Jaime Rosenberg, welcome to This Week in Managed Care from the Managed Markets News Network

A year after its opening and a few months after it was targeted in a political debate in the Nevada Legislature, Elite Medical Center...is looking toward 2021...That’s the year that Elite will have to accept Medicare and Medicaid, although CEO Patty Holden, who said it could be much sooner, hopes to work with lawmakers to create different classes of hospitals in Nevada...Less than a mile from Strip landmarks like the Bellagio and Paris Las Vegas, the hospital is working toward accepting Medicare and Medicaid, after state legislators earlier this year passed a law requiring essentially all hospitals in the state to accept the government programs...READ MORE