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PBM Issues


Will Senate Hearing Expose PBMs’ Unscrupulous Drug Pricing Tactics?
Forbes Today , Sen. Bernie Sanders, I-Vt., will haul executives from three insulin manufacturers and three pharmacy benefit managers...
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May 11, 20233 min read


Patients Lose Access to Free Medicines Amid Spat Between Drugmakers, Health Plans
Pharmaceutical companies have cut financial assistance to thwart health-plan tactics The Wall Street Journal It is getting tougher for...
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May 4, 20234 min read


Another powerful congressional committee is ready to take on PBMs
STAT+ House Oversight Committee Chairman James Comer plans to hold a hearing on the results of an investigation into the business...
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May 3, 20233 min read


Bipartisan Senate plan would regulate PBM compensation, target ‘unfair’ drug price hikes
Healio Key takeaways: The bipartisan plan would decouple pharmacy benefit manager compensation from drug prices, among other reforms. The...
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Apr 25, 20232 min read


The Implications of Pharmacy Benefit Managers Prioritizing Profit Over Patients
HCP Live Click Here to Watch the Video of Juliana Reed's Talk Juliana Reed, MS, executive director of the Biosimilars Forum, discussed...
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Apr 14, 20232 min read


What is transparency? 6 things to look for in a PBM contract
Apparently, everyone is for transparency now. So why do employers and their brokers still struggle to understand prescription drug...
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Apr 12, 20236 min read


Move the Pharmacy Benefit Manager Transparency Act of 2022 forward
CT Mirror “I cannot afford to live.” – Patients are screaming at the outrageous prescription drug costs. The U.S. spends three times more...
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Apr 11, 20233 min read


Prescription drug middlemen are bad for patients, crushing indy pharmacies
Minnesota Reformer Kemper Drug in Elk River recently closed its doors for the last time after having served the community for over 70...
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Apr 6, 20234 min read


National Poll Shows Overwhelming Support for Congressional Efforts to Hold PBMs Accountable
Bipartisan Respondents Strongly Favor Policies that Require PBMs to Provide Value and Lower Drug Costs PBM Accountability Project With...
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Mar 30, 20232 min read


Senate Commerce approves PBM transparency bill
Axios Pro The Senate Commerce Committee approved the bipartisan Pharmacy Benefit Manager Transparency Act Wednesday on an 18-9 vote. Why...
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Mar 22, 20232 min read


MN pharmacies in crisis: Pharmacists push for bill to change prescription payment business model
KIMT3 News Reporter: Annalise Johnson “We care about every part of your healthcare and your life. We do our best for that. We do more...
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Mar 21, 20234 min read


Court of Appeal affirms that Optum’s arbitration requirements are unenforceable
Rx Healthcare Law Author: Natalia Mazina The California Court of Appeal, First Appellate District has just affirmed the holding of a...
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Mar 20, 20232 min read


Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need
STAT+ News An algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered...
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Mar 16, 20239 min read


LIPA Statement of Support for Attorney General Landry's Insulin Lawsuit
For Too Long, Insulin Manufacturers and Pharmacy Benefit Managers Have Derived Unjust Economic Benefit from Diabetes Patients and State Taxpayers. Attorney General Landry Seeks to Reverse the Damage Louisiana Independent Pharmacies Association BATON ROUGE, LA (March 15, 2023) – Louisiana Independent Pharmacies Association (LIPA) issued the following statement in response to Attorney General Jeff Landry’s lawsuit naming Sanofi-Aventis U.S., LLC and Novo Nordisk, Inc, two the
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Mar 15, 20232 min read


Watch: AG Jeff Landry announces diabetes treatment lawsuit
Louisiana KTAL News Louisiana Attorney General Jeff Landry announces a new lawsuit aimed at protecting diabetic residents from high costs...
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Mar 15, 20231 min read


The List of PBM Formulary Exclusions Got Longer in 2023
Pharmacy benefit managers say they exclude high-cost drugs and have alternatives on their formularies. Critics say exclusions narrow...
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Mar 13, 20233 min read


FTC’s Enforcement Action Against GoodRx Breathes New Life into Decade Old Regulation
Lexology The Federal Trade Commission (FTC) didn’t mince words. On September 2021, it called out the health app industry for failing to...
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Mar 9, 20237 min read


Which payer raked in the most cash last year? The answer likely won't surprise you
While all the major national payers turned a profit last year, one far and away outpaced the competition. Fierce Healthcare UnitedHealth...
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Mar 8, 20234 min read


Patients Caught in Drug Industry, PBM Battle on Copay Assistance
CMS rule leaves high out-of-pocket costs, lawsuit argues Aid programs ‘mask’ problem of prices, analysts say Bloomberg Law High drug...
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Mar 6, 20235 min read


Did Lina Khan Just Slash Insulin Prices?
Eli Lilly just announced price cuts of insulin list prices by 70%. Did government just help people? Yes, yes, it did. BIG by Matt Stoller...
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Mar 4, 20234 min read
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