The PBM says the payment model more closely aligns with the costs pharmacies often face due to "manufacturer pricing actions." ...

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

But the price you pay with insurance will also depend on: your specific plan benefits any prior authorization requirements you have for drug coverage To learn more about what you’d pay for ...

Senators greenlit two health bills on Thursday ahead of a critical deadline with near-unanimous support — one limiting insurer’s powers over prior authorization and another ... Express Scripts and ...

The cost of erythromycin with and without insurance can depend on several factors, such as whether there’s financial assistance and the form of ... need to obtain prior authorization before ...

A Wisconsin couple has filed a lawsuit against pharmacy benefit manager Optum Rx and Walgreens, alleging their son's death was linked to a sudden price increase in his asthma medication.

The Schmidtknechts allege that pharmacy benefits management company OptumRX violated Wisconsin law by raising the cost of the medication without a valid medical reason and failing to provide 30 ...

The Schmidtknechts allege that pharmacy benefits management company OptumRX violated Wisconsin law by raising the cost of the medication without a valid medical reason and failing to provide 30 days' ...