A new Senate bill would prohibit PBMs from negative reimbursements and make other changes to protect independent pharmacies.

Act" was unveiled by a group of bipartisan lawmakers Tuesday, aimed at reforming the incentive structure for Pharmacy Benefit ...

Rep. Mariannette Miller-Meeks, R-Iowa, and colleagues introduced a version of the The bill would limit a PBM working with a ...

Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to ...

The state's insurance regulator has been seeking such information as patient names, dates of birth and prescription details.

Ed Kaplan, the national health practice leader at Segal, also has concerns about "any willing provider" strategies.

A pharmacy benefit manager negotiates prices with wholesalers, sets reimbursement rates on drugs and compiles the lists of which medicines an insurer will cover. But critics describe the industry as ...

UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will ...

The massive pharmacy benefit manager plans to stop requiring coverage authorizations for roughly 80 drugs used to treat ...

The PBM plans to stop requiring coverage authorization for about 80 drugs, including Vertex’s cystic fibrosis medicines and ...

The request stems from a 2023 state law aimed at increasing oversight of PBMs, intermediaries that negotiate drug prices between insurers and pharmacies. However, the broad scope of the data ...