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AcariaHealth is owned by Centene.
This ambiguity is sort of necessary, as PBM contracting Jedi master Linda Cahn identified in 2009.
Managed care organizations are in on the game too.
Ohio MCO, Paramount, which is owned by ProMedica, also is limiting distribution primarily to their own specialty pharmacies or CVS/Caremark.
As an apart, it appears from UnitedHealthcare’s Ohio PDL, that the definition of specialty drug might basically be every drug ever made (Figure 11).
To translate, Buckeye is funneling specialty prescriptions (here termed biopharmaceuticals and injectables) to AcariaHealth.

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Conclusion. The switching from brand-name to generic LEV is generally safe. The proportion of patients who experienced increased frequency of seizures was small (6%), as was the number of patients who returned to the brand-name LEV after a 6-month follow-up (1.3%).

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FDA requires generic drugs to have the same active ingredient, strength, dosage form, and route of administration as the brand-name drug. The generic manufacturer must prove its drug is the same (bioequivalent) as the brand-name drug.

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