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pharmacy benefits managers

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

The Challenges of PBMs

Jesse Dresser, of Frier Levitt, discusses vertical integration in pharmacy and what that means for independent and ...

JUNE 13, 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

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

Congress Shines Another Harsh Light on PBM Practices

In a rare show of bipartisanship, members of Congress from both sides of the aisle agreed that PBMs have too much ...

OCTOBER 29, 2023

4 Case Studies Highlight AI’s Role in Improving Pharmacy Benefit Performance

Artificial intelligence and machine learning can flag claims errors, prevent fraud, waste and abuse and streamline ...

OCTOBER 18, 2023

Panel: Alternative Funding for Pharmaceuticals Brings Numerous Risks

Alternative funding programs, which sell a service that makes otherwise insured members appear to lack coverage for ...

SEPTEMBER 20, 2023

Staying Ahead in the PBM Marathon

There was a time when a health care executive told Helen Noonan-Harnsberger, PharmD, that drugs were cheap, like ...

AUGUST 8, 2018

Abarca Exports Its PBM Tech Expertise

Boston—The pharmacy benefits manager (PBM) Abarca is making its hom egrown technology platform available to ...

MAY 18, 2018

Senate Hearing, New Studies Take Aim at Prescription Drug Costs and PBMs

Those high-cost drugs: It's nobody's fault ... or maybe it's everyone's fault.

OCTOBER 20, 2017

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