As rebate pass-through and reporting rules expand, TPAs could take on larger roles in pharmacy oversight and fiduciary ...

Pharmacy benefit managers act as middlemen between drugmakers, insurers, pharmacies and patients and are accused of selling marked-up medicine.

Over 2025, Jayant Mishra of Mission Viejo, California, developed scaly, itchy red patches on his skin. Then came the pain and ...

Pharmacy benefit managers (PBMs) have used market leverage to demand rebates, which can lead drug manufacturers to increase sticker prices.

UnitedHealth rolls out AI in Optum Rx to flag pharmacy fraud, billing anomalies and medication risks, aiming to curb cost ...

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.

Pharmacist backs Hawley’s PBM crackdown, says big insurers and their pharmacy benefit managers, not Big Pharma, are driving ...

It’s looking increasingly likely that the UnitedHealth and CVS drug middlemen will also make peace with federal regulators, ...

STAT reports that administration officials have declined to offer details on the number of new drugs expected to be added, when that might happen, or how many people have used the site.

President Trump boasted proudly of his work on lowering drug costs during his State of the Union address on Tuesday, holding up his “most favored nation” (MFN) policy and TrumpRx.gov as proof of ...

When President Donald Trump announced "TrumpRx" in early February, a weight I’ve carried my entire adult life suddenly lifted from my shoulders. The website offers life-saving medications at much ...