New coalition of smaller PBMs champions federal policies requiring ‘100% pass-through’ of rebates, with PBMs then paid by a flat, disclosed fee.

In a crowded field of companies marketing web-based handheld devices that allow physicians to perform a myriad of functions, ePocrates Inc. is trying to differentiate itself by offering less than its competition. That is, its idea is to ease physicians into using web-enabled devices with a package of prescription drug information.

Entrepreneur Jim Sweeney, credited with founding the home infusion therapy industry, heads up CardioNet Inc., a start-up that aims to provide real-time cardiac monitoring, so patients can get prompter treatment. The CardioNet system senses and transmits cardiac events automatically, an important feature, since 40% of heart attack victims aren't even aware that they are experiencing some form of life-threatening event.

There was a time when managed care tried to control drug spending through strategies that compromised physician prerogative. But growing consumerism and the healthy US economy has led to questioning of managed care practices. New physician-driven organizations are looking at drug costs as part of a broader disease management agenda, while PBMs are taking a more doctor-friendly approach.