The association says pharmacy benefit managers (PBM’s) are to blame. They were originally created to mediate pharmacies and healthcare companies. However, the Iowa Pharmacy Association calls ...

LITTLE ROCK, Ark. — High drug costs and struggling local pharmacies have become critical challenges for Arkansans. That reality is the very reason that's prompting lawmakers to take action ...

CVS Health owns Caremark and Cordavis, and its PBM's formulary contains a Cordavis-branded biosimilar. "Confusing? Absolutely. Profitable for the PBMs? Certainly. Good for plan sponsors and patients?

As PBM services have traditionally been dominated ... In-house PBMs also allow health systems to design tailored drug management solutions for their patients. For example, UNC Health's platform ...

Douglas Hoey, said in a statement, “PBM reform would rein in the big health insurance lobby, save taxpayers $5 billion, and throw a lifeline to the thousands of small, family-owned pharmacies ...

Lawmakers ended 2024 on the cusp of passing a significant health package, including changes to the pharmacy benefit manager (PBM) industry payments to community health centers, a rollback of ...

“The central question here is whether the PBM industry should continue to be able to take income from both the manufacturer and the buyer.” The complexity of the business and the lack of ...

PBMs also provide drug-use reviews, instruments for deterring fraud, a benefit design tailored to the needs of the payer, and access to a formulary. The PBM charges the payer per transaction or ...

Oklahoma Attorney Gentner Drummond filed his first lawsuit under the state’s new pharmacy benefit management statutes on Thursday when he announced he is suing CVS Caremark for “multiple ...

In San Francisco's Dolores Heights, an unusual design and branding studio is the home of two creative artists who earned a ...

But beneath the surface of this public scrutiny lies the biggest threat to the traditional PBM structure, one that signals a quiet shift in the market: changing demands from employers, unions ...