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Momentum Grows Against PBM-Owned Pharmacies

May 5, 2025 | Legislative, News, Pharmacy, Pharmacy Benefits Manager (PBM), State legislation

On April 16, Arkansas became the first state to ban pharmacy benefit managers (PBMs) from acquiring an interest in â€“ or otherwise directly or indirectly holding a permit for the retail sale of â€“ prescription drugs, including mail-order...

JPMorgan Sued for Allowing Inflated Drug Prices through its PBM

Mar 24, 2025 | Drug costs, Lawsuits, News, Pharmacy Benefits Manager (PBM), Prescription

Current and former employees are suing the financial services firm JPMorgan for allowing inflated drug prices through its partnership with pharmacy benefits manager (PBM) CVS Caremark. The plaintiffs claim that poor PBM oversight led to unnecessarily high prescription...

Major PBMs Pocketed Nearly $9 Billion through Specialty Drug Pricing Practices, FTC Finds

Jan 27, 2025 | Federal Trade Commission (FTC), MedBen Rx, News, Pharmacy Benefits Manager (PBM), Rx Costs, Specialty Drugs, Spread Pricing

Through specialty generic drug markups, three major pharmacy benefit managers (PBMs) earned a collective $7.3 billion above estimated acquisition costs over a five-year period, according to an interim report released by the Federal Trade Commission (FTC)....

Employers Cite Direct Contracting, Value-Based Formularies Among Cost-Saving Strategies

Dec 30, 2024 | Cost Savings, Direct-to-Employer Contracting, Formularies, Health care costs, Networks, Pharmacy Benefits Manager (PBM), Research

A recent “Pulse of the Purchaser” survey offers interesting insights about strategies employers are using to successfully lower their medical and pharmacy costs… strategies that, not surprisingly, have long been in use by many MedBen clients. Among...

Disparate PBM Pricing Practices Put Independent Pharmacies at Risk of Closure

Oct 28, 2024 | Federal Trade Commission (FTC), Pharmacy, Pharmacy Benefits Manager (PBM), Rebates, Spread Pricing

KFF Health News reports on the disparity between pharmacy benefit manager (PBM) payments to large pharmacy chains compared to small drugstores: “[An American Pharmacy Cooperative] analysis early this year showed chains were paid well beyond the family business...

FTC Accuses Major PBMs of Overcharging Clients

Jul 23, 2024 | Federal Trade Commission (FTC), Formularies, News, Pharmacy Benefits Manager (PBM)

In an interim report released on July 9, the Federal Trade Commission charges major pharmacy benefit managers of engaging in business practices designed to benefit their own bottom lines at the expense of clients. The FTC report, subtitled “The Powerful...
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