Author: Alexandra Murphy

Five Blue Cross Blue Shield plans will require prior approval for certain severe asthma medications when administered in a healthcare setting, as part of a broader update to its medical policies for self-administered drugs.  The change includes four injectibles commonly…

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, will remove prior authorization requirements for approximately 80 prescription drugs, aiming to streamline access for patients with chronic conditions.  The policy change is expected to cut reauthorizations by 25%, accounting for…

Salt Lake City-based Intermountain Health, through its insurance arm Select Health, rebranded its pharmacy benefit manager to Scripius, a move that highlights the growing trend of health systems bringing PBMs in-house. 

HHS announced a record-breaking 23.6 million Americans have enrolled in health coverage for 2025 through the Affordable Care Act marketplace. 

Aetna has filed a lawsuit against 20 major pharmaceutical companies, accusing them of engaging in a broad price-fixing conspiracy that artificially inflated the prices of certain generic drugs.