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Pharmacy benefit managers, or PBMs, suspended in-person audits because of COVID last year, shifting to virtual audits, allowing benefit managers to review — and potentially deny — more pharmacy claims than ever before.
The pharmacy and retail giant partnered with the weight loss app Naturally Slim.
In order to maximize the plans fiduciary responsibilities, a contract with appropriate terms and definitions must be in place to allow the plan to exercise their right to carve-out prior authorization.
Drugs used to treat chronic conditions are being tried on coronavirus patients; CVS wants to ensure there’s enough to go around.
As medication costs continue to rise, employers should implement these strategies to mitigate the financial burden of pharmaceutical prices.
Understanding how to choose a pharmacy benefit manager can be beneficial for lowering prescription drug costs.
Following critical feedback and possible IRS conflicts, an HHS FAQ walks back recent pharmacy rules.
Following critical feedback and possible IRS conflicts, an HHS FAQ walks back recent pharmacy rules.
Drugstore are trying to keep Amazon from wresting away their piece of the $333 billion prescription-drug industry.
The decision removes the final barrier to a deal that adds a major health insurance business to a nationwide network of pharmacies and prescription-drug benefit programs.
DirectPath has integrated a pricing tool into its platform, allowing workers to better determine the cost of medication.
Benefit managers may need to review cost accumulator programs for specialty medications under recent regulations.
The president’s proposal would have prohibited drugmakers from paying rebates to PBMs in government programs such as Medicare.
Benefits consultants play a key role in preparing employers for how they should use point-of-sale rebates to lower healthcare costs.
Benefits consultants play a key role in preparing employers for how they should use point-of-sale rebates to lower healthcare costs.
Claims are astronomical. The first thing clients should do is cover prescription drugs under stop-loss insurance.
Claims are astronomical. The first thing employers should do is cover prescription drugs under stop loss insurance.
Initiatives like Amazon, JPMorgan Chase and Berkshire Hathaway’s Haven may be key to improving drug transparency, says one PBM CEO.
Initiatives like Amazon, JPMorgan Chase and Berkshire Hathaway’s Haven may be key to improving drug transparency, says one PBM CEO.
Before mergers are finalized and carriers begin implementing new underwriting rules and changes, it may be a challenge for mid-market clients to customize their prescription program.
