The PBM charges the payer per transaction or levies a flat administrative fee per member per month (PMPM). The flat administrative fee gives the employer some predictability, because ...

The PBM's 41-page lawsuit says allowing the FTC's case to play out as an administrative proceeding overseen by an administrative law judge "would subvert bedrock constitutional principles of ...

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 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 ...

These increases from $1,760 PMPM to $1,885 PMPM for certified school personnel and $1,580 to $1,885 for classified school personnel will go into effect at the beginning of fiscal year 2026.

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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 ...

The Federal Trade Commission (FTC) on Tuesday released its second interim report on pharmacy benefit managers (PBM), saying the major industry middlemen generate billions in revenue through ...

These increases from $1,760 PMPM to $1,885 PMPM for certified school personnel and $1,580 to $1,885 for classified school personnel will go into effect at the beginning of fiscal year 2026. Improving ...

An FTC official told reporters the $7.3 billion figure could be an underestimation. PBM-affiliated pharmacy dispensing revenue increased at an annual growth rate of 42% from 2017 to 2021 ...

The proposal includes increased funding for K-12 education, with $120.8 million allocated for the amended fiscal year 2025 and $402.2 million for fiscal year 2026 to fully support Georgia's ...