If the pharmacy is running an old version of NCPDP software, or if the ... companies and TPAs often outsource the management of pharmacy benefits to one of the major PBMs. [27] TPAs are ...

insurer Blue Shield of California and drugmaker lobby PhRMA called for an end to the pharmacy benefit manager model during HLTH 2024, saying the middleman structure misaligns incentives and drives ...

States may be getting ready to crack down even harder on pharmacy benefit managers. The National Association of Insurance Commissioners will be giving member regulators a crash course on PBM policy ...

Pharmacy Benefit Managers are the middlemen who manage virtually all prescriptions written in the U.S. Serving as brokers among drugmakers, pharmacies, and health insurers, these health care entities ...

There is no clearer example of the conflict that vertical integration causes than the increased role that pharmacy benefit managers (PBMs) have played in drug pricing and distribution. The ...

The biggest pharmacy benefit managers are profiting ... past week was promoted to be chief executive of CVS, said the benefit manager’s priority was to save money for employers, not to keep ...

GoodRx has been hit with a series of antitrust class actions in California and Rhode Island federal courts challenging the ...

As our New York delegation heads back to Capitol Hill this November, I ask for their leadership in advancing these bills. It’s time for Congress to stand up to the pharmacy benefit manager industry ...

Good morning, and TGIF. With the 118th Congress winding down, what issues do you hope lawmakers will tackle next session? Send thoughts to [email protected]. Today’s edition: Vice ...

However, pharmacy benefit managers (PBMs) often interfere, pushing independent pharmacies into unfair contracts that threaten their businesses. These contracts frequently force pharmacies to ...

The Iowa Pharmacy Association blames middlemen that are called Pharmacy Benefit Managers. If a pharmacy accepts insurance, which is almost all patients, they have to deal with Pharmacy Benefit ...

what you're paying, even how much you're paying compared to other people; how much the pharmacy benefit manager is pocketing," Abelson said.