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Pharmacy benefit management In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. [1][2] PBMs operate inside of integrated healthcare systems (e.g., Kaiser Permanente or ...
Here’s how they fared. While House Bill 246, which would regulate pharmacy benefit managers in North Carolina, has been locked in a Senate committee for more than a year, other states have ...
Pharmacy benefit managers (PBMs) are in the crosshairs of Republicans and Democrats in Congress but have so far dodged any new litigation or reforms that had been targeted for inclusion in last ...
The Federal Trade Commission took action Friday against the nation’s three largest pharmacy benefit managers, accusing the companies of artificially inflating insulin list prices that resulted ...
Pages in category "Pharmacy benefit management companies based in the United States" The following 22 pages are in this category, out of 22 total. This list may not reflect recent changes.
Express Scripts Holding Company is a pharmacy benefit management (PBM) organization. In 2017 it was the 22nd-largest company in the United States by total revenue as well as the largest pharmacy benefit management (PBM) organization in the United States. [2] Express Scripts had 2016 revenues of $100.752 billion. [2] Since December 20, 2018, the company has been a direct subsidiary of ...
PBMs have used various strategies over the years to squeeze independent pharmacies, and these tactics are on the rise as the federal government takes aim at reigning in the notorious middlemen.
The Medicare Prescription Drug, Improvement, and Modernization Act, [ 1 ] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. [ 2 ] It produced the largest overhaul of Medicare in the public health program's 38-year history.