Employee-Paid

Executives said that demand is still strong because overall market capacity has shrunk.

One part requires PBMs to send employer health plans detailed prescription benefits tracking information and for the plan fiduciaries to use the data to keep tabs on the benefits and on PBM compensation.

New court papers released by DOJ may be the tip of the iceberg, lawmakers and advocates say.

West Virginia began to license PBMs in 2020. In 2022, the state began to require insurers to pass all prescription drug rebates and other prescription drug discounts on to health insurance purchasers in 2022.

An Aon health benefits specialist predicts that employers will have to work harder to monitor their pharmacy benefit managers.

The average allowed amount for a patient with no chronic conditions was $1,590, while the average allowed amount for a patient with one chronic condition was nearly double, at $3,039.