As the healthcare industry continues to evolve, it is more important than ever to embrace strategies that improve outcomes, lower costs, and create a better experience for patients. One strategy that ...

Mike Burns was diagnosed with cancer about six years ago. He needed radiation and chemotherapy and was prescribed the drug capecitabine. Takeaways Pharmacy benefit managers negotiate the cost of drug ...

Third-party administrative managers of prescription drug benefits will face continued state-federal enforcement action from Oklahoma officials next year. And it’s likely to ramp up. In an interim ...

Pharmacy claim reversals can be costly. Not only can they have an immediate impact on pharmacies’ cash flow; but, in many cases, they can lead to additional consequences as well. Pharmacies accused of ...

In the wake of the longest government shutdown in U.S. history, the skyrocketing cost of health care has once again become a defining issue in Washington. Yet even with the urgency Americans feel, ...

On February 4, 2026, the Federal Trade Commission (FTC) announced what it called a “landmark” settlement with Express Scripts, Inc. (ESI) in its enforcement action alleging anticompetitive practices ...

A federal court could decide whether customers of Ligonier Pharmacy and several additional locations operated by Martella’s Pharmacies can have in-network insurance coverage through Highmark or UPMC ...

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 ...