The state's insurance regulator has been seeking such information as patient names, dates of birth and prescription details.

A pharmacy benefit manager negotiates prices with wholesalers, sets reimbursement rates on drugs and compiles the lists of which medicines an insurer will cover. But critics describe the industry as ...

Act" was unveiled by a group of bipartisan lawmakers Tuesday, aimed at reforming the incentive structure for Pharmacy Benefit ...

What is it that the PBM industry doesn’t want you to know?” asked the CEO of the Florida Pharmacy Association.

Regulatory and reimbursement pathways should consider indirect benefits in addition to direct health benefits when evaluating ...

This legislative session, I introduced House Bill 740 to help Montana’s pharmacies stand up to pharmacy benefit managers (PBMs). Decades ago, these industry giants started filling a legitimate need in ...

The bill, which encompasses the recommendations of a task force, would regulate pharmacy benefit managers and increase price ...

Kan., Mark Warner, D-Va., and Bill Cassidy, R-La., has introduced legislation to limit what they say are abusive pricing ...

Your TRICARE explanation of benefits is an essential tool for understanding your health claims. An EOB is a statement from ...

I delayed enrolling in Part B for five years after ... Medicare does consider the VA pharmacy to be creditable coverage. Medicare can impose the Late Enrollment Penalty (LEP) because: -Your company ...

In its first advisory opinion of the year, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) assessed ...