Nearly a decade ago, plan sponsors' pharmacy benefit conversations focused mostly on member satisfaction and plan compliance. Today, fiduciary duty comes first, then member satisfaction, compliance ...

Forecast accuracy has assumed a central role in PBM organizations' strategic decision-making to optimize costs and deliver value to businesses and consumers alike. Commencing from the very definition ...

Across industries, competition between a few dominant players is not unusual, but in healthcare, its effects extend well beyond standard business rivalry. When control over prescription drug access ...

Effective January 1, 2026, California’s Senate Bill 41 (SB 41) fundamentally reforms pharmacy benefit manager (PBM) practices. It prohibits spread pricing, mandates a passthrough pricing model, and ...