A proposal in the Tennessee legislature could force CVS Health to sever a core piece of its business model or exit the state ...

State lawmakers push legislation to bar pharmacy benefit managers from owning retail or mail-order licenses; The push has momentum in Tennessee, with a House committee ...

PBM remuneration in Medicare Part D must move away from list price–linked, percentage-based compensation and historic ...

A fight over how pharmacies get paid is back at the Mississippi State Capitol, with pharmacy benefit managers, known as PBMs, ...

State Sen. Scott DeLano joined WLOX’s Hugh Keeton and Bill Snyder with his insight into what’s happening at the state Capitol ...

Rivera, an independent pharmacy payment integrity company, published a new issue brief examining why the current wave of PBM reform raises the bar for pharmacy benefit oversight without replacing the ...

Pharmacy benefit managers (PBMs) are increasingly using artificial intelligence tools in drug benefit administration, a transaction-intensive ...

Experts say the bipartisan Break Up Big Medicine Act — aimed at breaking up vertically integrated healthcare companies — faces slim chances of passing despite recent PBM reforms.

Speaker Jason White said the House’s initial concern is the removal of the anti-steering language, which has long been ...

In February 2024, a group representing (among others) the Johnson & Johnson Group Health Plan and its component plans (Plaintiffs) sued Johnson & Johnson and The Pension & Benefits Committee of ...

A former California resident warns Tennessee lawmakers that a pharmacy bill could bring 'big government' overreach to the ...

KINGSPORT, Tenn. (WCYB) — Pharmacy Benefit Managers or PBMs are the middlemen who control what you pay at the counter when you pick up your prescriptions which oftentimes leads local pharmacies like ...