PBMs
PBMs Fight to Keep Their Retail Pharmacies Open
States nationwide are working to reign in the power of pharmacy benefit managers (PBMs). At the forefront of this ...
AUGUST 4, 2025
Lumicera Health Services Partners With Costco Pharmacy for 'Cost-Plus' SP Services
Commercial employer benefit plan sponsors and pharmacy benefit managers that participate in the new model will have ...
APRIL 24, 2025
Navigating the Next Wave of Pharmacy Audits
Audits by PBMs, state boards of pharmacy and CMS likely rank among the biggest stressors for hospital pharmacies, ...
APRIL 11, 2025
GLP-1 Compounding: Expect Inspections
503A compounding pharmacies can expect more inspections from their state boards of pharmacy and audits from PBMs ...
FEBRUARY 13, 2025
Congress Demands Answers From PBMs
The Federal Trade Commission accused the nation’s largest pharmacy benefit managers (PBMs) of practices that ...
AUGUST 5, 2024
The Challenges of PBMs
Jesse Dresser, of Frier Levitt, discusses vertical integration in pharmacy and what that means for independent and ...
JUNE 13, 2024
PBMs, Cost Sharing Eyed by State Legislatures
Getting more transparency from pharmacy benefit managers and manufacturers, and curbing state costs for ...
MAY 29, 2024
Help Is At Hand When Navigating PBM Audits
Pharmacy benefit managers can audit pharmacies in their networks at any time, so it is crucial to have a fee key ...
APRIL 25, 2024
Navigating Relationships With State Boards and PBMs
Pharmacy leaders should be transparent and collegial when representatives of state boards of pharmacy and pharmacy ...
APRIL 12, 2024
Breaking Down Barriers to PBM Network Access
Gaining access to pharmacy benefit manager networks for your specialty pharmacy has become a tricky process, but ...
FEBRUARY 15, 2024
PBM Cuts, DIR Fees And Audits Add Dour Note to the New Year
Pharmacy benefit managers have responded to the new CMS rule requiring them to account for all ...
FEBRUARY 12, 2024
PBMs Implement Sweeping Reimbursement Cuts and Ramp Up Audits
Pharmacy benefit managers have responded to a new CMS rule requiring them to account for all ...
DECEMBER 26, 2023
