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PBM Issues
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
Health insurers cover fewer drugs and make them harder to get
NPR To listen to this NPR report, click here Insurance coverage isn’t what it used to be when it comes to prescription drugs. Insurance...
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Jul 9, 20243 min read
Spanberger Joins More Than 20 Colleagues in a Bipartisan, Bicameral Effort Urging the Defense Health Agency to Increase Oversight of Its Exclusive Contract with Express Scripts
Insurance NewsNet U.S. Representative Abigail Spanberger joined a bipartisan group of more than 20 U.S. House and U.S. Senate colleagues...
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Jul 5, 20246 min read
3Axis Report Scrutinizes PBM Spread Pricing Practice
The 3Axis Advisors analysis suggests PBMs’ spread pricing practices leads to employers being charged different amounts for the same...
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Jul 3, 20244 min read
Independent local pharmacies at risk as reimbursement environment prompting closures
Weatherford Democrat Editor’s note: This is the second story of a multi-part series on challenges rural pharmacies are facing. Part I of...
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Jul 1, 20244 min read
Mail-Order Drugs Were Supposed to Keep Costs Down. It’s Doing the Opposite.
One employer was paying about $100 for a prescription for a generic antidepressant, though it could be bought elsewhere for about $12 The...
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Jun 27, 20245 min read
The Opaque Industry Secretly Inflating Prices for Prescription Drugs
Pharmacy benefit managers are driving up drug costs for millions of people, employers and the government. The New York Times Americans...
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Jun 24, 202416 min read
Price-gouging middlemen are why Arizonans can’t afford their prescriptions
AZ Mirror As an independent pharmacy owner of more than 18 years, I started my business with one goal in mind: to help patients. Our...
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Jun 19, 20243 min read
States urge Supreme Court to review PBM case
Modern Healthcare A bipartisan group of state attorneys general is urging the U.S. Supreme Court to review a case they allege wrongfully...
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Jun 15, 20242 min read
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