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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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What is the approval process for generic drugs?

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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