PBMs
Lumicera Health Services Partners With Costco Pharmacy for 'Cost-Plus' SP Services
Commercial employer benefit plan sponsors and pharmacy benefit managers that participate in the new model will have ...
APRIL 24, 2025
GLP-1 Compounding: Expect Inspections
503A compounding pharmacies can expect more inspections from their state boards of pharmacy and audits from PBMs ...
MARCH 14, 2025
GLP-1 Compounding: Expect Inspections
503A compounding pharmacies can expect more inspections from their state boards of pharmacy and audits from PBMs ...
FEBRUARY 13, 2025
Navigating the Next Wave of Pharmacy Audits
Audits by PBMs, state boards of pharmacy and the Centers for Medicare & Medicaid Services likely rank among the ...
JANUARY 10, 2025
Breaking Down Barriers to PBM Network Access
Gaining access to PBM networks for your health system’s specialty pharmacy has become a tricky process.
MARCH 15, 2024
PBMs Implement Sweeping Reimbursement Cuts and Ramp Up Audits
Pharmacy benefit managers have responded to a new CMS rule requiring them to account for all ...
DECEMBER 26, 2023
Alternative Funding for Drugs Brings Numerous Risks
Over the past few years, some employers have opted to lower their healthcare spending on high-cost medications by ...
OCTOBER 27, 2023
Panel: Alternative Funding for Pharmaceuticals Brings Numerous Risks
Alternative funding programs, which sell a service that makes otherwise insured members appear to lack coverage for ...
SEPTEMBER 21, 2023
Bills to Rein in PBMs Pass Senate, House Committees
With the passage of two different packages of legislation that include measures imposing restrictions on pharmacy ...
AUGUST 1, 2023
340B Restrictions Taking Their Toll On Care, Savings
The efforts of pharmacy benefit managers (PBMs) and drug manufacturers to constrain the federal 340B Drug Pricing ...
NOVEMBER 14, 2022
FTC Votes Against Investigating PBMs’ Effects on Specialty Pharmacies
On Feb. 17, The Federal Trade Commission deadlocked on a vote to study pharmacy benefit managers and how their ...
FEBRUARY 22, 2022
Administration Proposes Repealing Safe Harbor for Drug Rebates
Rebates paid by drug manufacturers to insurers and PBMs in exchange for preferred formulary status would be ...
FEBRUARY 6, 2019
