Pharmacy benefit managers (PBMs) have used market leverage to demand rebates, which can lead drug manufacturers to increase sticker prices.

CAMBRIA COUNTY, Pa (WJAC) — One week from now, national pharmacy benefit manager Express Scripts is expected to terminate its coverage with locally-owned Martella's Pharmacy. Our Emily Marines took a ...

PBMs help insurers streamline drug management and may help negotiate lower drug costs with manufacturers. However, they may also profit from setting prices and controlling pharmacy networks, making ...

From our years of counseling clients on effective pharmacy benefit management (PBM) contracting – from procurement to contract execution – Wiley Rein knows that many Plans (health plans/plan ...

As regulatory pressure and rising drug costs reshape expectations for pharmacy benefit managers (PBMs), real-time data is becoming central to how PBMs build trust and retain clients. Payers are facing ...

A prescription is prepared at Flow's Pharmacy in Columbia, Missouri. In January, Missouri Attorney General Catherine Hanaway announced her office was suing a number of drug manufacturers and pharmacy ...

While the Big Three pharmacy benefit managers continue to be mired in controversy, coalition PBMs may appear to be a viable avenue for like-minded employers that pool their purchasing power to drive ...

Please listen to podcast here. Host, Bridgette Keller is joined by Associate, David Gilboa to break down the highlights from our Spring 2025 PBM Policy and Legislative Update. In just five minutes, we ...

Rivera, an independent pharmacy payment integrity company, published a new issue brief examining why the current wave of PBM reform raises the bar for pharmacy benefit oversight without replacing the ...