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PBM Issues


Pharmacy-benefit managers could face more SD regs
Keloland Capitol News Bureau Pharmacists would be at less of a disadvantage on business arrangements such as prescription-drug prices...
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Mar 3, 20232 min read


OK Commissioner Mulready sets record straight about changes to prescription program
The Duncan Banner The Oklahoma Insurance Department (OID) has become aware of inaccurate and misleading communications affecting Oklahoma...
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Mar 2, 20232 min read


Congress Investigates How Pharma Middlemen Affect Drug Prices
Panel asks CVS Caremark and other pharmacy-benefit managers about fees The Wall Street Journal House Republicans have launched an...
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Mar 1, 20233 min read


Suit Against Anthem Exposes Conflict Over Health Claims Data
Employers could save money with data, consultant says Insurers contend health claims data is proprietary Bloomberg Law A lawsuit filed by...
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Feb 24, 20234 min read


The lunacy of 340B and Medicare’s inability to negotiate drug prices
Why do we mandate a better deal for business than for taxpayers? Health Care un-covered by Wendell Potter When you combine Medicare’s...
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Feb 22, 20235 min read


Middlemen Running Amok
The Cannon Reduced competition, shortages, and unaffordable options are symptoms of middlemen running amok. Administrators—who rarely...
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Feb 21, 20233 min read


Corporations try to kill Oklahoma rule that aims to keep prescription temperatures safe
A pharmacy rule pending in Oklahoma could be the first in the nation to tighten safety on temperature exposure for mailed medications,...
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Feb 18, 20235 min read


Biden’s SOTU Targets Drug Companies, But Misses Opportunity To Challenge Health Insurers And PBMs
Forbes President Biden’s State of the Union Address hammered home the point that drug prices must come down. He reminded viewers that he...
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Feb 17, 20235 min read


‘We Ain’t Gonna Get It’: Why Bernie Sanders Says His ‘Medicare for All’ Dream Must Wait
KHN After railing at the injustices of U.S. health care for decades, Sen. Bernie Sanders in January became the new chairman of the Senate...
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Feb 16, 20236 min read


Rural Oregon pharmacies fear closure without further health care industry regulation
A trio of bills would create new rules for pharmaceutical middlemen in the state. Oregon Public Broadcasting Less competition has meant...
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Feb 10, 20234 min read


Need a new drug? You may be asked to ‘fail’ an old drug first
New laws target a health insurance practice called “step therapy,” which is used to control costs, but can also delay needed treatment...
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Feb 9, 20235 min read


Mississippi lawmakers propose bill targeting pharmacy benefit managers
Super Talk | Mississippi Media Mississippi hospitals aren’t the only ones in need. According to Robert Dozier of the Mississippi...
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Feb 8, 20232 min read


Oklahoma Pharmacy Board unanimously approves new rules for shipping mail-order medications
Oklahoma KFOR News The Oklahoma Pharmacy Board unanimously approved new rules Wednesday that would regulate how Oklahomans receive...
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Feb 7, 20232 min read


I wrote about high-priced drugs for years. Then my toddler needed one.
As a health and science reporter, I’ve studied the maze of U.S. health care. But when my son got sick, I still got lost. The Washington...
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Feb 4, 202311 min read


With the FTC’s more expansive approach to antitrust, PBMs are in the crosshairs
STAT News The Democrats leading the Federal Trade Commission are hoping to expand the agency’s authority to crack down on unfair business...
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Jan 25, 20236 min read


$189 charged, $15 collected: The life and death of a local independent drugstore
VTDigger Eye all the photos, postcards and news clippings that paper Mary Giamartino’s office, and you’ll see how the Hotel Pharmacy...
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Jan 23, 20234 min read


FTC action on PBMs could be just what the doctor ordered to improve patient outcomes
A primer on prescription drug prices, pharmacy benefit managers, government action, and why physicians need to be heard. Medical...
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Jan 15, 20234 min read


Pharmacy Benefit Managers and the Federal Trade Commission: A Relationship Gone Sour
JAMA Authors: Barak D. Richman, JD, PhD1; Eli Y. Adashi, MD, MS2 On June 7, 2022, the Federal Trade Commission (FTC) announced its...
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Jan 14, 20236 min read


Aspirations 2023: What I Hope To See Happen In Healthcare And Public Health (But Probably Won’t)
Forbes Previously this month, I gave predictions for 2023. Here, I’ll offer some aspirations for the healthcare system in 2023: What I...
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Jan 12, 20236 min read


Everyday High Prices
How discounting led to inflation, shortages, and inequality. Washington Monthly Magazine Author: Phillip Longman For years, the only...
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Jan 10, 202310 min read
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