The brilliant and beloved physical comedian, Lenny Schultz has died at the age of 91. The news was confirmed by his son, Mark ...

Thursday, the Alabama Senate approved pharmacy benefit manager reform and a new reimbursement standard for independent ...

The PBM also announced that it will make the pharmacy experience simpler for consumers with chronic conditions by eliminating ...

A pharmacy benefit manager negotiates prices with wholesalers, sets reimbursement rates on drugs and compiles the lists of which medicines an insurer will cover. But critics describe the industry as ...

Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit manager ...

Dozens of independent pharmacies have shuttered in Alabama over the last two years, according to the Alabama Independent Pharmacy Alliance. Pharmacists said that is because of financial pressures, in ...

Despite doctors deeming the treatment medically necessary, the pharmacy benefit manager denied coverage based on the patient’s age. The medication, Rinvoq, is approved for use in children as ...

Nothing in the court's ruling reduces or eliminates the fiduciary obligations that health plan sponsors must uphold under ...

UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will ...

The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.