Over the past decade, employers, HMOs, health care insurers, and various government entities have turned to pharmacy benefit management companies (PBMs) to help control their drug budgets.

As PBM services have traditionally been dominated by large companies such as CVS Caremark, Express Scripts and OptumRx, health systems are starting to create alternatives. Here are four more things to ...

Longstanding claims that one of the reasons for high drug prices in the US is the actions of pharmacy benefit management (PBM) companies – the middlemen in the supply chain – are being ...

A new report by the Federal Trade Commission says pharmacy benefit management companies are driving up your out-of-pocket costs for prescription drugs.

(WHNT) — A group of Huntsville-area pharmacies have joined a class action lawsuit alleging price-fixing and anti-competitive practices by the largest pharmacy benefit management companies in the ...

Tabula Rasa HealthCare, following its 2023 merger with ExactCare of Cleveland, earlier this month announced it had undertaken ...

In the lawsuit, AG Gentner Drummond outlined 200 individual prescription claims that were reimbursed below acquisition cost ...

Even as some advocate for more transparency within the industry and for reining in pharmacy benefit management companies, other groups in Massachusetts believe these work to their benefit.

Sen. James Lankford has been trying to pass legislation in response to an industry he believes will leave small towns without ...

Pharmacy benefit managers actually "play a vital role in holding" sometimes-inflated prices down, said UHG CEO Andrew Witty ...

A bill filed Thursday (Jan. 16) in the Arkansas Legislature would prohibit pharmacy benefit managers and insurance companies ...

The PBM is the entity for which the entire ... Therefore, entities like insurance companies and TPAs often outsource the management of pharmacy benefits to one of the major PBMs.