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.

Jennifer Jarvis helps take care of Central City’s park and veterans monument, but depends on her 20 medications – which she can no longer get filled at the local pharmacy in town, ...

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

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

Pharmacy benefit managers (PBMs) have used market leverage to demand rebates, which can lead drug manufacturers to increase sticker prices.

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.

In recent years, independent pharmacies across Mississippi like Chris' Pharmacy in Columbus say they've been short-changed by their benefit managers--forcing some to close.

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

In a health care system that too often obscures how prices are set, transparency and competition remain the most reliable tools for protecting patients. PBM reform is the most critical piece of ...