A House committee stripped the provision that made PBM executives sweat, but Senate Bill 140 still has some meat.

In fact, bipartisan bills have been introduced aimed at increasing transparency in PBM operations, eliminating conflicts of interest and ensuring that savings from negotiated drug discounts are ...

There’s still significant support in Congress for overhauling the pharmacy benefit manager industry, after reforms almost made it across the finish line late last year but died at the 11th hour ...

Rice University's executive director of HR operations ditched a traditional model for one that's providing lower costs and ...

The PBM receives compensation for these services. Separately, the PBM also enters contracts with pharmacies that dispense the drugs. The pharmacies negotiate drug prices with the wholesaler, and the ...

In addition to CVS, CI, and UNH, which collectively administer about 80% of all prescriptions in the U.S., Elevance Health (NYSE:ELV) also operates in the PBM market. “For far too long ...

2. Payments to be passed in their entirety by the PBM to the pharmacy or dispenser. 3. PBM administrative fees to reflect fair market value. Medications covered under the 340B program are excluded.

However, when your specialized physician submits your prescription, a Pharmacy Benefit Manager (PBM) denies it, ignoring the time and experience your physician spent choosing the best option ...