The Alabama state Senate recently passed SB252, which creates guidelines and restrictions to limit the scope of Pharmacy ...

Discover Marpai, Inc.'s Q4 2024 earnings insights: reduced losses, new growth initiatives like MarpaiRx, strategic partnerships, and a focus on ...

The case outlined how Wells Fargo used Express Scripts as its pharmacy benefit manager without competitive bidding and ...

As managed care pharmacy navigates rapid transformations in policies, high-cost drug strategies, and innovative therapies, ...

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

President Donald Trump’s firing this week of two Democratic members of the Federal Trade Commission calls into question how ...

But existing federal health privacy guidance shows that PBMs can disclose patients' protected health information to the ...

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 ...

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 ...

Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit manager announced Thursday. The company said it will shift to a cost-based model ...