A lack of access to pharmacies is not a new problem in Washington. But it has gotten worse after a wave of closures in the ...

The defendants claim the company breached its ERISA fiduciary duty by putting business interests ahead of the plan and its ...

Federal benefits law preempts state law claims in a suit a young man’s family filed over his death after his insurance ...

The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.

Optum Rx's new cost-based program uses an internal algorithm that leverages multiple available industry data sources, such as ...

Optum Rx will align payment models more closely to the costs pharmacies may face due to manufacturing pricing actions effective immediately and with full implementation by January ...

Rising prices set by pharmaceutical companies are causing pharmacies across the United States to pay more for many drugs, impacting their ability to maintain high-quality care for patients.

Optum Rx will increase reimbursements to pharmacies for brand-name drugs and cut them for generics.  Optum Rx said the new pharmacy payment models are in response to price increases set by brand name ...

UnitedHealth Group’s UNH Optum Rx recently announced a major step toward modernizing pharmacy payments, a decision that could ...

UnitedHealth's pharmacy business will shift its payment models to more closely align with the costs pharmacies might face, a move aimed at ensuring medicines are available and better balancing how ...

The FTC sued Cigna-owned Express Scripts, CVS-owned Caremark and UnitedHealth-owned Optum Rx in September, arguing that the drug middlemen prefer more expensive insulin products because they ...

UnitedHealth Group ( NYSE: UNH) announced Wednesday its pharmacy benefit manager, Optum Rx, would eliminate up to 25% of reauthorizations, easing patients’ access to multiple medications when their ...