However, when your specialized physician submits your prescription, a Pharmacy Benefit Manager (PBM) denies it, ignoring the time and experience your physician spent choosing the best option ...

Half-Life 3 remains one of the gaming world's biggest mysteries. Everyone knows, Valve included, that there is a deep desire to see another entry in the FPS series, even after all this time.

If you have severe tricuspid valve regurgitation, doctors may recommend repair or replacement surgery. The tricuspid valve is one of four valves in your heart’s four chambers. It’s on the ...

By confronting the tactics of PBM middlemen and establishing a transparent, state-run managed care benefit, Virginia is working to protect patient access, ensure fair reimbursement and responsibly ...

PBM insourcing is the process by which a health plan or employer brings pharmacy benefit management functions in-house to gain greater control, transparency, and flexibility over their pharmacy ...

The new efforts may run into some of the concerns that have slowed adoption of PBM legislation in Congress and in some state capitals. Jason Borschow, the founder and president of Abarca Health ...

Express Scripts has controlled 89% of the PBM market since 2021. Plaintiffs say this is “likely the largest market share ever achieved by a single PBM within a single U.S. state.” In some ...

As it aims to broaden the reach of its replacement heart valves among younger patients, Edwards Lifesciences has put forward new clinical data showing its bioprosthetics can maintain their ...

In addition to CVS, CI, and UNH, which collectively administer about 80% of all prescriptions in the U.S., Elevance Health (NYSE:ELV) also operates in the PBM market. “For far too long ...

State Capitol building, in Little Rock, Arkansas. An Arkansas bill prohibiting pharmacies from being owned by pharmacy benefit managers (PBMs) will take effect Jan. 1, 2026. Gov. Sarah Huckabee ...