Pharmacy Benefit Manager (“PBM”) arrangements have long relied on rebates with limited transparency into true drug costs. Recent regulatory and ...

Optum Rx unveils its latest PBM pricing model overhaul as the industry faces growing pressure from federal regulators, ...

Bipartisan legislative momentum and expanding litigation are accelerating PBM-focused reform at federal and state levels, ...

HealthScape Advisors, a leading payer advisory firm and a Chartis company, today announced its acquisition of PayerAlly, an independent pharmacy consulting firm specializing in pharmacy benefit ...

Tennessee lawmakers recently passed a bill banning PBMs from owning pharmacies in the state, though like a similar Arkansas ...

The pharmacy benefit manager (PBM) industry is witnessing a pivotal moment in 2026, marked by the strategic retreat of AmeriHealth Caritas from its PerformRx unit and its pivot to Optum Rx. This move ...

EmpiRx Health's John Ridyard shares how the company’s Medication Optimization tool is driving lower drug costs, improved ...

The massive PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid. Pharmacy groups say that depends on the specifics of Optum Rx’s plan.

Multiple independent pharmacies across Rhode Island are calling for pharmacy benefit manager reform, pointing to “predatory ...

Independent rural pharmacists are starting other businesses or selling baby shower gifts to keep their stores operating.

Designed by pharmacists, the transformative PBM promises to deliver unprecedented clarity and give clients greater flexibility to improve plan performance BIRMINGHAM, Ala., Sept. 10, 2025 /PRNewswire/ ...