Pennsylvania enacted a law in 2024 that was intended to keep local pharmacies open by improving the transparency and ...

Plan sponsors are able to dispute a PBM’s plan if it’s not reasonable or relevant, directly through CMS. Should PBMs refuse to provide 100% pass-through, the contract will no longer be reasonable.

Gov. Mikie Sherrill signaled a desire to go all-in on reforming pharmacy benefit managers this year, and some legislative ...

Speaker Jason White said the House’s initial concern is the removal of the anti-steering language, which has long been requested by independent pharmacists.

Bernstein upgraded both Cigna Group and CVS Health Corp to Outperform in separate notes on Thursday, arguing that sweeping ...

A Senate committee advanced a pharmacy benefit manager reform bill Tuesday, but passed it with a “strike-all” amendment, ...

Experts say the bipartisan Break Up Big Medicine Act — aimed at breaking up vertically integrated healthcare companies — faces slim chances of passing despite recent PBM reforms.

The Mississippi Business Alliance warns lawmakers that mandating high dispensing fees will contribute to already skyrocketing health care costs.

State Senator Rita Parks said concessions were made to ensure the regulation of PBMs stays with the Board of Pharmacy. The Senate Public Health Committee adopted a strike-all amendment to the House’s ...

This article examines the PBM-related provisions in the 2026 Consolidated Appropriations Act in the context of other federal and state efforts to regulate PBMs, then offers recommendations on ...

The many parts of the complex PBM equation have opened the door for forward-thinking minds to innovate and move from vertical ...

We’ve all seen our prescription costs go up, and PBMs’ profits tell the story of why. According to reports shared with the Congressional Budget Office, the three biggest PBMs recorded $27.6 billion in ...