Says that while the company offers customers 100% pass-through options, “a small number have historically elected other models.” Witty says “We ...

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 ...

Minnesota officials say ERISA preemption is "highly contentious." They are trying to enforce a new PBM law without taking ERISA preemption into account. The ERISA Industry Committee filed the suit ...

Margin expansion at Express Scripts, Caremark and Optum Rx increased by $336 million between 2017 and 2021, officials say.

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 ...

A new lawsuit challenges Minnesota’s law for regulating pharmacy benefit managers, a group of companies that structure drug benefits within health insurance plans that critics have accused of ...

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?

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 ...

This remarkable stability is attributable to PBMs. The PBM business model dictates that they are adversaries to drug manufacturers and pharmacies. PBMs affect the revenues of branded drug ...

Lewandowski charges in her lawsuit that by contracting with the PBM Express Scripts, which is part of the insurance giant Cigna, Johnson & Johnson — which fired her in April — failed in its ...