The Alabama state Senate recently passed SB252, which creates guidelines and restrictions to limit the scope of Pharmacy ...

Health plan members are becoming more savvy prescription drug shoppers. Plan sponsors can do the same, and in the process, ...

Nothing in the court's ruling reduces or eliminates the fiduciary obligations that health plan sponsors must uphold under ...

Third-party companies known as pharmacy benefit managers, which administer prescription drug benefits for health insurance ...

Discover Marpai, Inc.'s Q4 2024 earnings insights: reduced losses, new growth initiatives like MarpaiRx, strategic partnerships, and a focus on ...

The case outlined how Wells Fargo used Express Scripts as its pharmacy benefit manager without competitive bidding and ...

UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will ...

But existing federal health privacy guidance shows that PBMs can disclose patients' protected health information to the ...

A pharmacy benefit manager negotiates prices with wholesalers, sets reimbursement rates on drugs and compiles the lists of which medicines an insurer will cover. But critics describe the industry as ...

Despite doctors deeming the treatment medically necessary, the pharmacy benefit manager denied coverage based on the patient’s age. The medication, Rinvoq, is approved for use in children as ...