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PBM Reform


In The News | Justice Department antitrust division looking at health care conglomerates, pharmacy drug middlemen
Ohio Capital Journal reporter: Marty Schladen Huge health conglomerates have another reason to worry that their business model might be disrupted. On a visit to Columbus Monday, one of the country’s top antitrust watchdogs said her agency is taking a hard look at the businesses and their practices. Doha Mekki, the No. 2 official in the U.S. Justice Department’s Antitrust Division, said her agency is investigating whether it should take action in the health care space generall
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Oct 31, 20242 min read


In The News | Weatherford pharmacist joins lawmakers, peers from six states supporting bill at U.S. Capitol
Weatherford Democrat Reporter: Glenn Evans gevans@weatherforddemocrat.com A Weatherford pharmacist joined members of Congress and her peers from six states in Washington on Friday to raise support for a bill to rein in the pricing power of Pharmacy Benefit Managers. “Our country is facing an epidemic of pharmacy closures,” Brandi Chane, owner of Davis City Pharmacy on the courthouse square, said at a press conference below the Capitol dome. She and the others were there to ra
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Oct 1, 20242 min read


Federal Trade Commission sues largest drug middlemen for allegedly inflating insulin prices
CNN Reporter: Tami Luhby , CNN The Federal Trade Commission took action Friday against the nation’s three largest pharmacy benefit...
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Sep 25, 20242 min read


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


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


Lawmakers introduce bipartisan bill aiming to crack down on drug middlemen as scrutiny ramps up
Bipartisan lawmakers introduced a new bill that aims to crack down on the business practices of drug supply chain middlemen who allegedly...
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Jul 23, 20244 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


Medicare Advantage and Consolidation’s New Frontier — The Danger of UnitedHealthcare for All
The New England Journal of Medicine To download a PDF of this article, click here UnitedHealth Group has recently come under fire. In...
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Jul 11, 20246 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


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


Health-Care Collusion Task Force Sets Stage for DOJ Enforcement
Justice Department poised to bring civil, criminal cases Enforcers expected to focus on data-sharing, use of AI Bloomberg Law The Justice...
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Jun 21, 20244 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


Independent pharmacists start ads asking Congress for relief from PBMs, ask Supreme Court to hear a case
Northern Kentucky Tribune Independent community pharmacists have begun an advertising campaign to get Congress to rein in pharmacy...
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Jun 17, 20242 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


PBM executives invited to testify before House panel
STAT+ Executives from the three major pharmacy benefit manager companies have been invited to testify before the House Committee on...
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May 21, 20241 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


When Did Progressives Learn to Love Health Insurers?
Real Clear Health As long as I have been in politics, I have been keenly aware of the role that health insurers play in driving up health...
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May 11, 20244 min read
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