Although the entire transmission process for a prescription claim from the time a pharmacist transmits it to the time the pharmacy receives payment authorization from the PBM on behalf of the ...

Purpose: The difference between what pharmacy benefit management companies (PBMs) charge prescription benefit plan sponsors and what dispensing pharmacies are paid ("spread") was studied.

Scott: Currently, over 70 companies offer full PBM services, with new entrants in ... positions — because that could raise costs. Pharmacy lobbying groups often do talk about reimbursement ...

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 ...

The Anti-Kickback Statute is a United States federal criminal statute that prohibits the exchange (or the promise to exchange) of anything of value for referrals of federal healthcare program ...

You probably have no idea who your pharmacy benefits manager (PBM) is. But you almost definitely have one. A pharmacy benefits manager is what it sounds like: PBMs manage prescription drug ...

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 ...

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 ...

Pharmacists across Iowa continue to voice concern over more pharmacy closures in the state and country, but pharmacy students ...

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 ...