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PBM Issues


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


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 31, 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
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