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PBM Issues


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


The U.S. drugstore is caught in a perfect storm, ditched by customers and squeezed by insurance middlemen: ‘Pharmacies are in shambles’
Yahoo Finance Good morning. Fortune senior features writer Maria Aspan here, writing from New York City. I’ve spent the last few months...
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Jun 6, 20242 min read


Press Release | PUTT Sets Record Straight on PBM Agreement with Clinically Integrated Independent Pharmacy Network
FOR IMMEDIATE RELEASE May 31, 2024 May 23rd Announcement Should Have Listed Cigna, Not PBM Express Scripts, in Agreement With CPESN to Cover Non-Prescription Clinical Services WINSTON-SALEM, NC (May 31, 2024) – Pharmacists United for Truth and Transparency ( TruthRx.org ) issued the following statement in response to a news release issued by pharmacy benefit manager (PBM) Express Scripts announcing a “collaboration” agreement with CPESN USA , the country’s first and largest
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May 30, 20243 min read


The Inflation Reduction Act’s Medicare Impact: Beware This Faustian Deal
RealClear Health The Biden administration is moving forward with a process that represents a sea change in how Medicare pays for drugs....
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May 29, 20244 min read


Critics of Pharmacy Benefit Managers to Protest at Express Scripts
“They have the power to create a monopolistic system, which is what they're doing,” says Loretta Boesing Riverfront Times Loretta...
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May 17, 20244 min read


No profits for prescriptions: Independent pharmacies raise concerns
WCBI CBS News The technicians at Chris’s Pharmacy in Columbus hardly ever stop, from opening until closing. There’s plenty of business....
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May 8, 20242 min read


Mark Cuban has a simple question for CVS’s drug middleman: Why don’t you publish your prices?
Ohio Capital Journal Businessman and TV personality Mark Cuban has a seemingly straightforward question for the huge drug middleman owned...
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May 3, 20244 min read


Not so fast, PBMs: You aren’t fooling consumers
National Consumers League | Blog Post A recent op-ed, “It’s Time for Facts in the PBM Debate” by the president of one of the nation’s...
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Apr 12, 20242 min read


Long-term care pharmacies forced to borrow to buy resident drugs, close as intermediaries tighten grip on sector
McKnights Senior Living Long-term care resident access to prescription drugs is being squeezed as several market and regulatory factors...
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Apr 11, 20245 min read


Are below cost reimbursement practices by Pharmacy Benefit Managers creating opportunity for criminals to enter the legitimate supply chain?
The Partnership for Safe Medicines Whether it’s N95 masks, airbags, or helmets, demand for a product that the legitimate market cannot...
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Apr 6, 20249 min read


Amid increased federal scrutiny, PBMs pivot strategy to further squeeze independent pharmacies
Yahoo! Finance Pharmacy benefits managers (PBMs) are employing new strategies to squeeze independent pharmacies, even as the industry...
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Mar 25, 20245 min read
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