Sophia Watson is in urgent need of life-saving treatment for a tumor, but an insurance dispute has left her family without coverage.

Express Scripts Inc. lost its bid to toss antitrust claims in a case alleging it conspired with other benefit managers to fix pharmacy reimbursement rates, as a federal judge found the plaintiffs ...

PBM reform represents a tremendous opportunity. It might be one of the only significant, consequential areas of true ...

The recently integrated tool was recognized by the Business Intelligence Group with a 2025 BIG Innovation Award. The launch ...

Cigna aims to improve customer relations while keeping a close eye on the bottom line. If it works, other insurers may be ...

Ever had to explain to a client why a sweet win in the lower courts doesn’t necessarily mean that it’s time to dig in and eat? In City ...

Boston’s bid to hold two pharmacy benefit managers legally accountable for their alleged roles in the opioid epidemic under RICO and public nuisance claims was dismissed by a federal judge because it ...

Across healthcare system, stakeholders share blame for high costs. This includes hospitals, drugmakers, insurers and others ...

Lawmakers determined to enact new restrictions on pharmacy benefit managers are trying to include legislation, which nearly ...

Ninth Circuit Reverses Dismissal of FCA Suit - On Tuesday, the Ninth Circuit reversed the district court’s grant of Express ...

Outrage against PBMs was on full display when 400 pharmacy professionals in Kansas shuttered their businesses and petitioned ...

According to Reuters, the grocery retailer notified Express Scripts in September 2022 of its plan to terminate the pharmacy ...