Reforming the prescription system could lead to major savings for patients, with one report putting the number as high as ...
As rebate pass-through and reporting rules expand, TPAs could take on larger roles in pharmacy oversight and fiduciary ...
Pharmacy benefit managers act as middlemen between drugmakers, insurers, pharmacies and patients and are accused of selling ...
Over 2025, Jayant Mishra of Mission Viejo, California, developed scaly, itchy red patches on his skin. Then came the pain and ...
Pharmacy benefit managers (PBMs) have used market leverage to demand rebates, which can lead drug manufacturers to increase ...
UnitedHealth rolls out AI in Optum Rx to flag pharmacy fraud, billing anomalies and medication risks, aiming to curb cost ...
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.
Pharmacist backs Hawley’s PBM crackdown, says big insurers and their pharmacy benefit managers, not Big Pharma, are driving costs up and squeezing independent pharmacies.
It’s looking increasingly likely that the UnitedHealth and CVS drug middlemen will also make peace with federal regulators, ...
President Trump boasted proudly of his work on lowering drug costs during his State of the Union address on Tuesday, holding up his “most favored nation” (MFN) policy and TrumpRx.gov as proof of ...
When President Donald Trump announced "TrumpRx" in early February, a weight I’ve carried my entire adult life suddenly lifted from my shoulders. The website offers life-saving medications at much ...
Like millions of Americans, Jamie Donahue knows the steep costs of prescription drugs. "My stepmom, she actually has a seizure disorder, and she has to pay $1,200 a month," she said. "The drug ...