Explore how PBMs negotiate drug costs, serve as middlemen between insurers and drug makers, and why they're vital yet controversial in healthcare.

What is known is that PBM companies, in general, have higher profit margins than drug manufacturers. | Opinion ...

Pharmacy benefit managers will charge some health insurance plans more for a medication than what they reimburse a pharmacy, keeping the extra money as profit, critics say. This practice is known as ...

Mark Cuban recently took to X to question the control insurance companies and Pharmacy Benefit Managers (PBMs) have over ...

PhRMA is again turning up the heat on both big insurance companies and their pharmacy benefit managers (PBMs) in a new ad highlighting middlemen that “own it all.” Healthcare consolidation—where big ...

New legislation introduced in both the House and Senate would make it illegal for one company to own both a pharmacy-benefit manager and a pharmacy. Pharmacy benefit managers, or PBMs, are companies ...

SelectHealth, the health insurance unit of Salt Lake City-based Intermountain Healthcare, is rebranding its pharmacy benefit manager. 1. The PBM, formerly known as SelectHealth Prescriptions, will be ...

JEFFERSON CITY, Mo. (KCTV) - Missouri lawmakers have filed multiple bills to regulate pharmacy benefit managers and lower prescription drug prices for patients. The Missouri Pharmacy Business Council ...

Shares of insurance and pharmacy benefit manager (PBM) companies such as Centene Corp. (NYSE:CNC), Elevance Health Inc. (NYSE:ELV), Humana Inc. (NYSE:HUM) and CVS Health Corp. (NYSE:CVS) are trading ...

A small number of pharmacies in the U.S. don’t accept insurance and don’t do business with pharmacy benefit managers. Opting out of the traditional pharmacy business model allows them to offer generic ...

Louisiana has shifted one of its two large pharmacy benefits contracts for state employees away from CVS Health, but Gov. Jeff Landry and state lawmakers kept the most lucrative agreement with that ...

This story was originally published by KFF Health News. While customers at Adams Family Pharmacy picked up their prescriptions on a hot summer day, some stopped in for coffee, ice cream, homemade cake ...