Pharmacy Benefit Managers (PBMs)

California May Regulate and Restrict Pharmaceutical Brokers

California Gov. Gavin Newsom will soon decide whether the most populous U.S. state will join 25 others in regulating the middlemen known as pharmacy benefit managers, or PBMs, whom many policymakers blame for the soaring cost of prescription drugs. PBMs have been under fire for years for alleged profiteering and anticompetitive conduct, but efforts to

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Major PBMs Could Be Zeroing in on Specific Payer Markets for Dominance, Study Suggests

A new study is raising red flags about the composition of market power among pharmacy benefit managers, powerful middlemen in the drug supply chain that are facing heavy scrutiny for their alleged role in increasing U.S. drug costs. Just three PBMs — Caremark, owned by CVS Health; Express Scripts, owned by Cigna; and Optum Rx,

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AMA Study: The 4 Largest PBMs Control 70% of the Market Nationally

The four largest pharmacy benefit managers in the U.S. control 70% of the national market, and most regional PBM markets are highly concentrated, according to new data from the American Medical Association (AMA). The study dived into 2022 data on commercial and Medicare Part D plans and found that CVS Health’s Caremark is the largest

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