CVS Caremark, Walmart reach agreement to continue in-network coverage

By | January 20, 2019

After falling out over reimbursement rates, CVS Health and Walmart have reached a multi-year agreement on the terms for a continued contract.

Under the terms, which were not released, Walmart will continue participating in the CVS Caremark pharmacy benefit management commercial and managed Medicaid network.

Walmart and CVS Health already had an existing agreement in place for Walmart’s participation in Caremark’s Medicare Part D pharmacy network. The Sam’s Club division also remains in-network.

WHY THIS MATTERS

CVS has said Walmart had been asking for an increases to reimbursement rates.

On Friday, Walmart executive Sean Slovenski said they had reached a fair deal.

THE TREND

Earlier this week, CVS Health said its pharmacy benefit manager network, CVS Caremark, could not reach a deal with Walmart over reimbursement rates, leaving certain beneficiaries out-of-network when filling scripts at the nation’s largest retailer.

ON THE RECORD

“We are very pleased to have reached a mutually agreeable solution with Walmart. As a PBM, our top priority is to help our clients and consumers lower their pharmacy costs,” said Derica Rice, president, CVS Caremark.

“We are pleased to have reached fair and equitable terms with CVS Caremark that are in the best interest of our customers, and we are glad our CVS Caremark customers will be able to continue saving money and living better,” said Sean Slovenski, senior vice president, Walmart Health and Wellness.

Twitter: @SusanJMorse
Email the writer: susan.morse@himssmedia.com

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