pharmacy benefit managers (PBMs) News

Trump Administration Halts Plan to Sideline Pharmacy Benefit Managers

The White House abandoned a push to end rebates paid to middlemen who negotiate drug prices on behalf of health insurers, a move that could turn scrutiny back on how drugmakers themselves set prices. President Donald Trump has made lowering …

CVS to Expand Medical Services to 1,500 Stores

CVS Health Corp. said it would offer expanded health services such as nutrition counseling and blood pressure screenings in 1,500 stores by the end of 2021, following through on plans announced during the pharmacy chain’s 2018 acquisition of health insurer …

States, Congress Questioning Pharmacy Benefit Managers’ Role in Drug Prices

Several states are probing pharmacy-benefit managers’ business practices in government-sponsored health programs, adding to the scrutiny the middlemen face in Washington for their role in the cost of drugs. At least three state attorneys general are investigating PBMs, in addition …

How to Keep Big Pharma from Winning Drug Price Wars: Joe Nocera

Robin Feldman is a law professor at the University of California Hastings with a particular expertise in antitrust and patent issues. She is also one of those professors who are unusually good at explaining complex issues in terms laymen (like …

Kentucky Investigating Drug Overcharges by Pharmacy Benefit Managers

Kentucky Attorney General Andy Beshear said on Thursday he had launched an investigation into allegations that pharmacy benefit managers (PBMs) had overcharged state health insurance programs for drugs and discriminated against independent pharmacies. The investigation comes against the backdrop of …

Cigna CEO Says Ending Benefits Manager Rebates Won’t Harm Commercial Market

The U.S. government’s proposal to eliminate rebates that pharmacy benefit managers receive from drugmakers will not have a meaningful impact on growth, and does not affect the commercial market, Cigna Corp. Chief Executive Officer David Cordani said on Friday. Investors …

Cigna Completes $54 Billion Acquisition of Express Scripts

Cigna Corp. on Thursday closed its $54-billion deal to buy Express Scripts Holding Co., creating one of the biggest providers of pharmacy benefits and insurance plans in the United States, a combination it says will help it improve healthcare coordination …

CVS Says It Closed on Deal to Buy Aetna But Judge Balks

In an unusual move on Thursday, a federal judge raised the prospect of not approving CVS Health Corp.’s deal to buy insurer Aetna Inc., which closed earlier this week, during a routine portion of the legal process. Judge Richard Leon …

CVS Acquisition of Aetna Expected to Close After Thanksgiving

CVS Health Corp. said on Tuesday that it expects to close its $69 billion purchase of health insurer Aetna Inc. after the Thanksgiving holiday. The pharmacy chain and benefits manager had previously expected the transaction to close by Nov. 22. …

On the Side, Express Scripts Eyes Distributing High-Priced Specialty Drugs

Express Scripts Holding Co. built a multi-billion enterprise pressuring drug companies to lower their prices for U.S. patients. Now it is quietly building a side business: getting paid to help drug companies dispense a new generation of high-priced drugs. Express …