The case could redefine state authority over PBM regulations, potentially lowering costs and allowing more flexible drug benefit plans. A ruling in favor of ERIC may set a legal precedent on state ...

House Republicans have abandoned language to rein in the pharmacy benefit manager (PBM) industry from a new government funding bill released late Thursday. Leaders earlier this week agreed to PBM ...

Based on conversations with industry expects, the Act, while incremental, does not include any adverse new ideas that would materially harm PBM profits, and the text allows enough room and time ...

One section would require a PBM serving a large fully insured or large self-insured employer health plan to pass 100% of any prescription drug rebates or other discounts on to an employer plan's ...

Ron Wyden says Elon Musk, an advisor to President Donald Trump who's on track to lead a new Department of Government Efficiency, pushed the PBM provisions out of the package. The new American ...

“PBM tactics inflate American’s prescription drug costs, force pharmacy closures, and block access to Americans’ pharmacies of choice. The work done by Congress in the 118th Congress and in ...

Currently, PBMs frequently retain a percentage of rebates paid to them by pharmaceutical companies in return for placing their drugs on the PBM’s formulary. The higher the list price of a drug ...

WASHINGTON — House Republicans have abandoned an effort to include reforms to pharmacy benefit managers in an end-of-year bill to fund the federal government. Congressional leaders had reached ...

Lawmakers agreed to extend telehealth flexibilities, fund public health programs, and enact these major PBM changes as part of a government funding package they are planning to pass before the end ...

President-elect Donald Trump pledged earlier this week that he will "knock out the middlemen," in a jab against pharmacy benefit managers (PBMs). Major health insurers Cigna (CI), UnitedHealth ...

However, it’s likely PBM reform will be resuscitated in Congress next year too, given Trump has expressed an interest in reining in PBMs. As for telehealth, Congress including a three-month ...

The PBM changes would put guardrails on the business practices of the industry, something that’s been a bipartisan priority for years but, until now, never made it to the finish. The package ...