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

CVS owns health insurer Aetna and pharmacy benefit manager Caremark, allowing it to control how medications are priced, prescribed, and dispensed.

Kansas legislators, Republican and Democrat, are frustrated bills to help control prescription drug prices are blocked by GOP ...

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

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

Specialty pharmacy operations now account for approximately 52 percent of total non-discounted pharmaceutical spending. The number of available specialty medications has grown from roughly 30 in the ...

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

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

For physicians, the growing influence of pharmacy benefit managers is affecting how easily they can prescribe medications, how much patients pay out of pocket and how long treatment takes to begin, ...

Reforming the prescription system could lead to major savings for patients, with one report putting the number as high as ...