The Prescription Drug Problem & PBM Reform
July 23, 2024
Vermont sues Caremark, Express Scripts, accusing PBMs of driving up prescription pricesDemocratic Attorney General Charity Clark said CVS Health's Caremark, Cigna Group's Express Scripts and several of their affiliates pushed patients toward more-expensive drugs even when less-expensive alternatives were available.
July 24, 2024
Pennsylvania governor signs pharmacy benefit manager billOne provision would keep PBMs from steering enrollees toward their mail-order pharmacies.
July 25, 2024
Why the PBM industry faces a very different futureThe PBM industry is currently experiencing a confluence of technological, regulatory, and marketplace changes that will impact PBMs that operate with opaque business practices and antiquated technology.
July 25, 2024
House Republican proposes making PBMs fiduciariesRep. Nick Langworthy asked about duty of care at a committee hearing featuring three top PBM executives.
July 26, 2024
But wait, there's more: VK2735 may beat current obesity drugsViking Therapeutics' dual-action contender could add to pharmacy benefits cost pressure.
July 29, 2024
Wegovy and other GLP-1s could increase orthopedic surgery useBut a rating agency expects the new weight loss drugs to reduce spending on bariatric surgery.
July 29, 2024
Humira beat out Ozempic in 2023 employer plan cost rankingsBut the new GLP-1 agonist obesity and diabetes fighters took up more rungs on Milliman's list of top cash eaters.
July 31, 2024
Wells Fargo sued over drug costs in employee health planThe Wells Fargo plan paid almost $10,000 for a generic pill for multiple sclerosis that Wegmans pharmacies sold for $648, according to the complaint, driving up premiums and out-of-pocket costs.
August 02, 2024
Cigna aims to manage the GLP-1 spending panicOverall, executives say, sales look stable, and ICHRAs look interesting.