"The CVS CostVantage formula is based on the underlying cost ... "Health insurance companies are always going to need a PBM." In 2024, the PBM business was the largest segment of revenue for ...

Nearly a decade ago, plan sponsors' pharmacy benefit conversations focused mostly on member satisfaction and plan compliance. Today, fiduciary duty comes first, then member satisfaction, compliance ...

A Delaware-based pro-PBM lobbying group, Conservatives for Lower Care Costs, took out local ads on airways and social media urging lawmakers to vote the bill down. A House committee on Tuesday ...

Ivey PBM reform has long been a conversation at ... pharmacies must be reimbursed by PBMs using the Alabama Medicaid formula, which is at least the average acquisition cost of a medication or ...

He traces the trend to the rise of pharmacy benefit managers, or PBMs — companies that act as intermediaries among drugmakers, insurance corporations and pharmacies. Independent pharmacy owners ...

Federal Trade Commission Chair Andrew Ferguson has reversed course on his decision to recuse himself from the agency's legal battle with pharmacy benefit managers. Ferguson said in a statement ...