The nation’s top pharmacy benefit manager (PBM) lobbying group is going on the offensive, stepping up its advocacy efforts ...

Rivera, an independent pharmacy payment integrity company, published a new issue brief examining why the current wave of PBM reform raises the bar for pharmacy benefit oversight without replacing the ...

If there is one thing that leaders from both sides of the political aisle in Washington, DC can agree on, it’s that pharmacy benefit management (PBM) reform is needed – and needed now. In 2024, nine ...

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On June 16, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) titled “Pharmacy ...

Representative Diana Harshbarger (R-TN) has co-sponsored the bipartisan PBM Reform Act, introduced by Representative Buddy Carter (R-GA), aimed at addressing the practices of pharmacy benefit managers ...

On the list of critical health policy topics that policymakers are currently focused on, drug pricing is definitely towards the top. Reducing ...

Congressman Vicente Gonzalez (TX-34) introduced H.R. 4317, the PBM Reform Act, aimed at regulating pharmacy benefit managers (PBMs). The bipartisan bill seeks to ban "spread pricing" in Medicaid, ...

Editor: Each year, it seems like the cost of prescriptions climbs higher and higher, and access to care becomes more difficult. I’ve watched friends and family struggle with delays, denials, and ...

As of May 2026, pharmacy benefit managers are executing a wave of policy and portal updates that directly impact diabetes therapy management, cost containment, and provider workflows in Southern ...

Pharmacy benefit manager reform, along with other health care measures, was part of legislation signed by President Donald Trump this week, ending a partial government shutdown. The funding bill, the ...