Pharmacy

The Missouri attorney general’s office has filed a lawsuit against 19 pharmacy benefit managers and drug manufacturers, alleging they conspired to inflate insulin prices and deceive consumers. The lawsuit claims the defendants engaged in deceptive and unfair practices that caused…

Humana’s CenterWell Pharmacy will dispense Eli Lilly obesity medications under a new program targeting employers, according to a Jan. 12 news release. The pharmacy will serve those in employer plan-sponsored carve-out programs. Humana Pharmacy Segment President Bethanie Stein, PharmD, said…

Navigating GLP-1 coverage for weight loss has been a sore spot for insurers and employers. These drugs — alongside other specialty drug spending — have been behind price hikes going into 2026. Still, as some employers, states and insurers hesitate…

The Alabama Independent Pharmacy Alliance is pushing for transparency from pharmacy benefit managers, focusing on one in particular. The statement, published Dec. 23 in the Alabama Healthcare Examiner, specifically mentions the PBM Prime Therapeutics, which is jointly owned by Blue…

CMS shared plans Dec. 23 for its voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” — or BALANCE — model. The announcement comes weeks following the White House’s agreements with Eli Lilly and Novo Nordisk to apply most-favored-nation…

Even amid a widespread regulatory crackdown on pharmacy benefit managers, some payers have been leaning into their own businesses in 2025.  Here are six payer moves indicating growing PBM interest: 1. Independent Health’s PBM subsidiary, Pharmacy Benefit Dimensions, is one…

CMS has proposed two new models aimed at curbing Medicare drug spending by linking payments to international benchmarks. The proposals — GUARD for Part D drugs and GLOBE for Part B — are the latest in the CMS Innovation Center’s…

Highmark recently shared how it increased generic and biosimilar access to members, focusing on drugs for multiple sclerosis, cancer and autoimmune conditions. The insurer has been working with CivicaScript, a nonprofit generic drug company it helped found, to offer these…

Highmark Health is offering generic medications for multiple sclerosis and certain cancers, along with biosimilar drugs for some autoimmune conditions, at lower costs. In September, members started getting access to generic forms of dimethyl fumarate and dalfampridine, droxidopa, and capecitabine,…

Cost Plus Drugs co-founder Mark Cuban and Humana CEO Jim Rechtin said their companies are working together, Forbes reported Dec. 4. “We’re talking to CenterWell,” Mr. Cuban said during the Forbes Healthcare Summit. “I would say we are treating the…