“The good thing about that was it was bipartisan … But if not, we’ll continue to work … So we’ll be able to, I think we’ll be able to make the PBM reform and other things in that bill ...

(Photo by Meghan McIntyre/Virginia Mercury) A bipartisan proposal to centralize Virginia’s Medicaid pharmacy benefits under a single state-contracted pharmacy benefits manager (PBM) is gaining ...

The Iowa Pharmacy Association says PBM practices caused 29 Iowa pharmacies to close in 2024. “PBMs provide pharmacies a take it or leave it contract, where knowingly, a majority of prescriptions ...

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 ...

A bipartisan, bicameral group of lawmakers is calling on the Federal Trade Commission (FTC) to vote in favor of releasing an interim staff report on pharmacy benefit managers (PBM). Sens.

The price concessions from the pharmacy come from lower contracted rates that pharmacies must accept in order to participate in the PBM’s pharmacy network. Depending on the way an employer ...

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 ...

The final text saw a number of legislative proposals culled in order to get it over the line, including measures that would have introduced stricter controls over the PBM sector that had been ...

The Federal Trade Commission (“FTC”) released its second interim report on Jan. 14, 2025, accusing pharmacy benefit managers (PBMs) of marking up the prices of specialty generic drugs.

The study—authorized by the three Democratic and two Republican commissioners—involved pharmacy benefit management firms Express Scripts, OptumRx and Caremark. In a 45-page administrative ...

Thaddeus Jones, D-South Holland, Illinois, introduced the bill earlier this week. The bill could prohibit a PBM from: Steering patients toward its own pharmacy. Requiring a patient to use an in ...

The FTC’s investigation into PBM practices began in 2022. Last summer, the agency released a scathing interim report on the industry. It detailed how increasing concentration enabled the three ...