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

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

Congress Shines Another Harsh Light on PBM Practices

In a rare show of bipartisanship, members of Congress from both sides of the aisle agreed that PBMs have too much ...

OCTOBER 28, 2023

4 Case Studies Highlight AI’s Role in Improving Pharmacy Benefit Performance

Artificial intelligence and machine learning can flag claims errors, prevent fraud, waste and abuse and streamline ...

OCTOBER 18, 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