As rebate pass-through and reporting rules expand, TPAs could take on larger roles in pharmacy oversight and fiduciary ...

"Plan sponsors can no longer plausibly treat PBM economics as an unknowable black box, or avoid meaningful contractual review due to PBM refusal to negotiate," Kara Maddalena, counsel at Davis Wright ...

Pennsylvania enacted a law in 2024 that was intended to keep local pharmacies open by improving the transparency and accountability of pharmacy benefit managers, or PBMs. Even with ...

For physicians, the growing influence of pharmacy benefit managers is affecting how easily they can prescribe medications, how much patients pay out of pocket and how long treatment takes to begin, ...

Express Scripts agreed to pay a $1.5 million administrative penalty and implement corrective actions following an investigation by the West Virginia Offices of the Insurance Commissioner. Between May ...

The MarketWatch News Department was not involved in the creation of this content. Settlement resolves FTC lawsuit alleging that Express Scripts' conduct resulted in artificially inflated insulin drug ...

The MarketWatch News Department was not involved in the creation of this content. Nation's largest Pharmacy Benefits Manager accused of gaming its drug formulary and withholding billions in rebates ...

The FTC’s newly announced settlement with Express Scripts marks a pivotal moment in the government’s campaign against pharmacy benefit manager pricing practices—and it should be read as more than a ...

Nation’s largest Pharmacy Benefits Manager accused of gaming its drug formulary and withholding billions in rebates from PBM customers. Today, Bernstein Litowitz Berger & Grossmann LLP (BLB&G) ...

The Federal Trade Commission has announced what it called a "landmark settlement" with Express Scripts over insulin pricing. The settlement resolves a lawsuit alleging that Express Scripts' conduct ...