CAMBRIA COUNTY, Pa (WJAC) — One week from now, national pharmacy benefit manager Express Scripts is expected to terminate its coverage with locally-owned Martella's Pharmacy. Our Emily Marines took a ...
PBMs help insurers streamline drug management and may help negotiate lower drug costs with manufacturers. However, they may also profit from setting prices and controlling pharmacy networks, making ...
A prescription is prepared at Flow's Pharmacy in Columbia, Missouri. In January, Missouri Attorney General Catherine Hanaway announced her office was suing a number of drug manufacturers and pharmacy ...
While the Big Three pharmacy benefit managers continue to be mired in controversy, coalition PBMs may appear to be a viable avenue for like-minded employers that pool their purchasing power to drive ...
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It took years for Congress to enact PBM transparency, delinking. What about vertical integration?
In February, Congress finally took action to rein in PBMs via the Consolidated Appropriations Act of 2026. It included reforms like the delinking of PBM compensation from the price of a drug in ...
Senators Crapo and Wyden propose PBM Price Transparency and Accountability Act. Bill would delink PBM rebates, boost reporting, audits, and pharmacy protections. Transparency aims to lower Medicare ...
As regulatory pressure and rising drug costs reshape expectations for pharmacy benefit managers (PBMs), real-time data is becoming central to how PBMs build trust and retain clients. Payers are facing ...
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