6 results for the search term pbm

…gain momentum. Most recently, the Coalition addressed a Pharmacy Benefit Manager (PBM) proposal, which was defeated by the Group Insurance Board, and a new report that claims accumulator bans don’t…

…more transparency into PBM operations and (in some cases) would prohibit reimbursement arrangements that incentivize PBMs to recommend higher-cost drugs. Momentum for PBM reform also continues to build outside of…

…managers (PBMs) complete discretion on whether or not they will count manufacturer copay assistance towards a patient’s out-of-pocket cost burden. A federal bipartisan bill before the U.S. House of Representatives…

…(PBM) pricing practices and ensure patients receive the full benefit of copay assistance. For patients with serious, chronic health conditions, including life-threatening illnesses, ongoing and continuous access to medication is…

…to bring transparency and accountability to pharmacy benefit managers. This measure would require the Federal Trade Commission to document well-known PBM practices, including spread pricing and clawbacks, which can play…

…states because insurance and pharmacy benefit management (PBM) companies-instituted accumulator and maximizer programs shift the medication cost burden to individual patients. Accumulator programs prohibit the value of a manufacturer’s co-pay…