News

The American Journal of Managed Care1d
The Future of Drug Pricing: Most Favored Nation, PBMs, and Patient Access
Navigating 2025 Drug Pricing Policies webinar, panelists discussed the Most Favored Nation executive order, bills aimed at ...
BenefitsPRO1d
Rep. Carter introduces major PBM reform bill with bipartisan support
One section could put HHS Secretary Robert F. Kennedy Jr. in charge of making sure PBMs send employer plan sponsors detailed ...
BenefitsPRO1d
Cigna's PBM expands low-copay access to popular GLP-1
The new arrangement could cut patients' copays to $25 per month, or less, for Wegovy, Zepbound, Ozempic and Rybelsus ...
Fraud, Nuisance Claims Offer a Winning Strategy to Defeat PBMs
Opinion: Miami attorney Gregg Goldfarb says wielding antitrust, fraud, and nuisance claims can help attorneys score wins in ...
An Opioid Defendant Sought Records From 1,000+ Cities and Counties. So Far, It's Sued Five of Them.
OptumRx, a pharmacy benefit manager accused in hundreds of lawsuits of contributing to the opioid crisis, sued five Kentucky ...
HME News2d
PBM reform legislation reintroduced
A dozen lawmakers have introduced a comprehensive pharmacy benefit manager reform package in the House of Representatives.
Crain's Chicago Business2d
Employers pull back on high-deductible health plans, eye PBMs as costs mount
A smaller subset of employers are tackling costs by tinkering with health plan design and membership, with 15% applying a ...
Central Illinois Proud on MSN4d
On the Record: Illinois law demands transparency from pharmacy benefit managers
New Illinois law aims to bring more oversight and transparency to pharmacy benefit managers, reducing costs and increasing access to prescription drugs, while also providing a starting point for ...