Hired by insurance companies and employers to manage pharmacy benefits, these intermediaries negotiate drug ... Last week, I ...

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

Therefore, entities like insurance companies and TPAs often outsource the management of pharmacy benefits to one of the major PBMs. [27] TPAs are independent benefit contractors that work with ...

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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 ...

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 ...

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 ...

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 ...

The Pharmacy Benefit Manager Transparency Act of 2022 would ban deceptive unfair pricing schemes and prohibit arbitrary clawbacks of payments made to pharmacies.

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 ...