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PBM Issues
In the News | Congress targets PBMs to curb drug prices, end spread pricing practices
KRCR ABC News7 Reporter: AUSTIN DENEAN | The National News Desk The House is renewing a push to take on pharmacy benefit managers that...
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Mar 5, 20253 min read
PUTT Blog | Attorney General Opinions: What You Need to Know for Effective Enforcement of PBM Reform Laws
Recently the Texas Attorney General (AG) issued an opinion on state House Bills 1763 and 1919. This opinion has significant implications for the regulation of pharmacy benefit managers (PBMs) in Texas. AG Paxton’s opinion addresses the enforceability of these laws and their interaction with federal regulations, specifically the Employee Retirement Income Security Act (ERISA). Why Does It Matter? An AG’s opinion is an authoritative interpretation of existing laws requested by
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Feb 28, 20254 min read
PUTT Blog | Digging Deep: PDABs
Author: Brandi Chane, PUTT Executive Board member In the Fall of 2024 we had the opportunity to attend the PDAB Patient Advocacy Summit...
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Feb 4, 20252 min read
In the News | Unions file suit against drug middlemen, insulin makers on behalf of thousands
Michigan Advance Reporter: Marty Schladen Unions that provide health benefits to nearly a half-million workers — including many in Ohio —...
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Jan 24, 20252 min read
In the News | NEWS RELEASE: OptumRx and Walgreens Sued Over the Death of Twenty-Two-Year-Old Who Couldn’t Afford His Asthma Medication
For further information or an interview or a copy of the complaint, contact Michael Trunk at michael.trunk@klinespecter.com . APPLETON,...
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Jan 21, 20252 min read
In the News | How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
KFF Health News Reporter: Arthur Allen Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that shape the...
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Dec 19, 20244 min read
In The News | Justice Department antitrust division looking at health care conglomerates, pharmacy drug middlemen
Ohio Capital Journal reporter: Marty Schladen Huge health conglomerates have another reason to worry that their business model might be disrupted. On a visit to Columbus Monday, one of the country’s top antitrust watchdogs said her agency is taking a hard look at the businesses and their practices. Doha Mekki, the No. 2 official in the U.S. Justice Department’s Antitrust Division, said her agency is investigating whether it should take action in the health care space generall
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Oct 31, 20242 min read
Federal Trade Commission sues largest drug middlemen for allegedly inflating insulin prices
CNN Reporter: Tami Luhby , CNN The Federal Trade Commission took action Friday against the nation’s three largest pharmacy benefit...
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Sep 25, 20242 min read
Pharmacy Benefit Managers Are Killing Indie Pharmacies and Limiting Patient Choice
TheBody Reporter: Tim Murphy I had a shocking revelation recently. For several years here in my New York neighborhood in Queens, I’ve...
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Sep 19, 20245 min read
Rally outside Optum HQ spotlights debate over pharmacy benefits managers
Minnesota Star Tribune Reporter: Christopher Snowbeck Critics of the pharmacy benefit manager (PBM) industry protested Friday outside the...
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Sep 17, 20242 min read
Higher Drug Costs, Less Choice: How PBMs Affect Everyday Americans’ Healthcare
Forbes Forbes Contributor: Rita Numerof The nation’s attention remains fixed on pharmacy benefit managers. Following a series of House...
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Aug 30, 20242 min read
TRICARE becomes part of fight over pharmacy benefit managers
Independent pharmacies leave military health insurance program over low reimbursement rates Roll Call TRICARE is coming under fire for...
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Aug 29, 20242 min read
A PBM Oligopoly: Three Companies Control 80% Of US Prescriptions – How Can We Fix It?
Forbes After two years of research, the Federal Trade Commission's recent interim report on Pharmacy Benefit Managers has...
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Jul 31, 20244 min read
States Keep Legal Pressure on PBMs Ahead of Potential FTC Suit
State AGs are forging ahead with price-fixing lawsuits FTC appears poised to file its own lawsuit against PBMs Bloomberg Law States are...
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Jul 29, 20244 min read
Drug middlemen say Pharma sets prices. Then why do middlemen have hundreds for the same drug?
Ohio Capital Journal Pharmacy middlemen known as pharmacy benefit managers deny claims that they’re responsible for the inflating cost of...
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Jul 27, 20243 min read
CVS Caremark agrees to $45M settlement with Illinois: report
Modern Healthcare CVS's in-house middleman for dispensing prescription drugs will pay at least $45 million in a settlement with the state...
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Jul 26, 20242 min read
Pharmacy middlemen claim to keep prescription prices low. In fact, they’ve cost consumers billions
Los Angeles Times In 2022, an executive of a big pharmacy middleman firm acknowledged the noxious reality of its business model: It was...
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Jul 17, 20247 min read
Insurers, employers see payoffs switching to smaller PBMs
Modern Healthcare Smaller pharmacy benefit managers may be having more than a moment as some health insurers and employers show the major...
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Jul 13, 20244 min read
FTC plans to sue top 3 PBMs over insulin prices: WSJ
Yahoo Finance The Federal Trade Commission (FTC) is looking to take legal action against the three largest pharmacy benefit managers...
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Jul 12, 20243 min read
PBMs pay higher prices to their own pharmacies, FTC says
Modern Healthcare Drug middlemen paid their own mail-order pharmacies as much as 200 times more than the price at rival pharmacies for...
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Jul 9, 20243 min read
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