Explore how PBMs negotiate drug costs, serve as middlemen between insurers and drug makers, and why they're vital yet controversial in healthcare.

Even as regulators are cracking down on pharmacy benefit managers, some payers have been leaning into their own businesses in 2025.  Here are six payer moves indicating growing PBM interest: 1.

About 14% of adults in Philadelphia have diabetes, one of the highest rates in the country, the city said, and Black and ...

Philadelphia announced a new lawsuit Tuesday against three major drug manufacturers and three pharmacy benefit managers. The city alleges all six are complicit in an insulin pricing scheme to keep the ...

Pharmacy cost management is one of the toughest challenges employers will face in 2026, according to new data from Employee Benefit News.

The FAIR Act would require PBMs to act in employees’ best interests, limit markups and prevent unexplained claim denials.

DUBUQUE, Iowa (KCRG) - The CEO of a pharmacy benefit manager company in Dubuque says new regulations would help keep pharmacies in business and get patients cheaper prescriptions. A bill headed to the ...

WASHINGTON, D.C. Today, Congresswoman Nikki Budzinski (IL-13) announced the introduction of the bipartisan Pharmacists Fight ...

The commonwealth claims that pharmacy benefit managers and drug manufacturers are in cahoots to inflate insulin prices for ...

Pharmacy Benefit Managers, or PBMs, are companies that work as a middleman between drug developers and pharmacies by setting ...

Twelve pharmacy benefit managers have been found in violation of a rule requiring adequate reimbursements to pharmacies, an attorney with the Arkansas Insurance Department told state lawmakers Friday.

Comer says pharmacy benefit managers have outgrown their role in healthcare. State legislators agreed when they passed Senate ...