PBM reform represents a tremendous opportunity. It might be one of the only significant, consequential areas of true ...

Across healthcare system, stakeholders share blame for high costs. This includes hospitals, drugmakers, insurers and others ...

Express Scripts Inc. lost its bid to toss antitrust claims in a case alleging it conspired with other benefit managers to fix pharmacy reimbursement rates, as a federal judge found the plaintiffs ...

Cigna aims to improve customer relations while keeping a close eye on the bottom line. If it works, other insurers may be ...

Boston’s bid to hold two pharmacy benefit managers legally accountable for their alleged roles in the opioid epidemic under RICO and public nuisance claims was dismissed by a federal judge because it ...

A 22-month-old girl, Sophia Watson, is in urgent need of life-saving treatment for a tumor, but an insurance dispute has left her family without coverage.

Outrage against PBMs was on full display when 400 pharmacy professionals in Kansas shuttered their businesses and petitioned ...

Lawmakers determined to enact new restrictions on pharmacy benefit managers are trying to include legislation, which nearly ...

Ninth Circuit Reverses Dismissal of FCA Suit - On Tuesday, the Ninth Circuit reversed the district court’s grant of Express ...

The recently integrated tool was recognized by the Business Intelligence Group with a 2025 BIG Innovation Award. The launch ...

For years PBMs have been assailed by pharma companies and Congress, and the new Trump administration looks likely to keep up the barrage.

California Gov. Gavin Newsom and state legislators in Sacramento seem to agree: Prescription drug prices are too high. But ...