Regulation of these middlemen started to get serious a decade ago, when Arkansas passed a law to hold them accountable for ...

In 2024, pharmacies dispensed an estimated $265 billion in specialty medications — an 8% increase from the year prior, according to Drug Channels. Compared to 2023, BrightSpring Health Services ...

U.S. District Judge Mark Pittman in Fort Worth, Texas, reportedly upheld the U.S. Food and Drug Administration's (FDA) ...

Pharmacy benefit managers, or PBMs, are the middlemen that control behind the scenes which drugs will be on an insurance company’s list of covered ... They are also suing Optum Rx, the PBM ...

Amjevita and Wezlana are available at both high and low list prices. As of January 1, 2025, OptumRx ... a drug], the PBM, which creates the formulary and prefers it, and the specialty pharmacy ...

1 Researchers developed an algorithm that identifies the most cost-effective billing method for specialty drugs, addressing the challenge of varying reimbursement rates between pharmacy and ...

The massive PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid. Pharmacy groups say that depends on the specifics of Optum Rx’s plan.

Optum Rx announced Wednesday that it will eliminate up to 25% of reauthorizations, initially focusing on 80 drugs ... pairs eligible specialty pharmacy customers with financial resources and ...

Optum Rx is committed to making prescription drugs more affordable and the pharmacy experience simpler ... physicians and pharmacists to expand the list over time. Medication authorizations ...

March 19, 2025--(BUSINESS WIRE)--Optum Rx is committed to making prescription drugs more affordable and the pharmacy experience ... and pharmacists to expand the list over time.

March 19, 2025--(BUSINESS WIRE)--Optum Rx is ... pocket costs for specialty medications. In 2024, the programs helped eligible consumers save $1.3 billion and reduced the average out-of-pocket cost to ...