As employers head into 2026, managing pharmaceutical costs is becoming increasingly complex, driven by a convergence of rising drug prices, increased utilization of specialty medications, and ...

To continue reading this content, please enable JavaScript in your browser settings and refresh this page. If you’re frustrated with your pharmacy benefit manager ...

As options for pharmacy benefit managers (PBMs) expand, focusing on fiduciary responsibility can help benefit leaders determine whether their current choice is the best for their workforce — or if ...

Health plans need to understand why integration is still the most impactful option for their pharmacy benefits model.

An examination of recent litigation under the Employee Retirement Income Security Act of 1974 (ERISA) challenging allegedly excessive fees paid by ERISA health plan sponsors (in their fiduciary ...

Throughout 2025, Congress introduced several bills related to the pharmacy benefit management (PBM) industry. As with the 118 th Congress in 2024 (see The Focus of Federal Proposals on Pharmacy ...

Independent pharmacies gained the upper hand Wednesday against pharmacy benefit managers following a behind-the-scenes lobbying battle over what has been one of the biggest unsettled policy issues in ...

Pharmacy benefit managers, the middlemen between drug manufacturers and insurance providers, would face a range of new requirements under a bill heading to Gov. Kim Reynolds' desk. Supporters say the ...

WOONSOCKET, R.I. — A proposal in the Tennessee legislature could force CVS Health to sever a core piece of its business model or exit the state entirely, and it’s emerging as a key test of how far ...

South Carolinians tend to have reasonable expectations of the health care system. They want to fill a prescription close to home, know what it will cost and work with their trusted pharmacist. For ...

Pharmacy benefit managers will face new regulations under an Iowa law aimed to prevent pharmacy closures and help pharmacies that are struggling financially. The law requires PBMs to reimburse ...