Pharmacy Benefit Managers (PBMs)

PBM Limits Could Finally Pass, If Congress Moves Its Tax-Cut Bill

Long-sought legislation to monitor and restrict how pharmacy benefit mangers operate could finally pass — if Republicans can move their sweeping budget bill that includes a string of those provisions. New PBM measures are tucked into the bill advanced Wednesday by the House Energy and Commerce Committee, which aims to cut more than $880 billion […]

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California Seeks to Further Regulate PBMs

On May 14, California Gov. Gavin Newsom proposed additional state oversight on pharmacy benefit managers, which negotiate drug prices between payers and drugmakers. In a revised 2025-2026 budget, the governor penned several oversight strategies regarding PBMs, according to a news release. The proposal would allow the state’s Department of Managed Health Care to regulate PBMs

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Drugmakers Have Spent Millions Targeting ‘Middlemen’—and It’s Paying Off

When President Trump signed an executive order this month to try to reduce drug prices, the pharmaceutical industry scored a big win. Within 90 days, the order said, Trump’s staff should put together a report “re-evaluating the role of middlemen,” who have been the target of one of the most sweeping and expensive lobbying campaigns

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Arkansas Adopts First-in-the-Nation Law Forcing Companies to Choose Between Running a PBM or Pharmacies

Arkansas Gov. Sarah Sanders has signed a first-in-the-nation law that prohibits pharmacy benefit managers from operating both retail and mail-order pharmacies, a move designed to eliminate a conflict of interest that has been blamed for boosting the price of medicines and forcing independent pharmacies to close. At issue is an ongoing concern that the largest

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Attorneys General Want Congress to Prohibit PBMs from Owning Affiliated Pharmacies

Dozens of state attorneys general are urging Congress to pass a law prohibiting pharmacy benefit managers from simultaneously owning pharmacies, arguing such a move would boost competition and create more affordable prescription drug prices for Americans. Their concern is these arrangements create conflicts of interest that allow pharmacy benefits managers to dominate the design of

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