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Policy & Regulation (9) See all Policy & Regulation Transparency Requirements For brokers
ERISA & Fiduciary
The Department of Labor has finalized its PBM disclosure rule, moving forward PBM transparency requirements.
Policy & Regulation Transparency Requirements For brokers
ERISA & Fiduciary
The Association for Accessible Medicines submitted comments on the Department of Labor's proposed PBM transparency and disclosure rule.
Policy & Regulation Transparency Requirements For brokers
ERISA & Fiduciary
A Department of Labor regulation expected Thursday would require PBMs to disclose drug prices and drugmaker payments to self-insured employer clients, effective July.
Policy & Regulation Transparency Requirements For brokers
A new federal rule will require drug intermediaries to disclose how they are paid.
Litigation & Enforcement (3) Litigation & Enforcement FTC & DOJ
Antitrust
A Politico report says Republican antitrust enforcers are the ones pursuing CVS, per the headline; page text was unavailable.
CVS Caremark
Litigation & Enforcement Settlements
State AG Actions
Pharmacies will receive $2.1 million from the state following a settlement with CVS Caremark.
CVS Caremark
Litigation & Enforcement Pharmacy Network Disputes
The University of Kentucky has sued CVS over a dispute concerning drug revenue, according to a FOX 56 News headline.
CVS Health
PBM Industry News Vendor Selection & RFP
Employer Benefits & Plan Sponsors Medicare Part D
The Hoboken City Council voted 7-2 to approve an $801,000 employer group Medicare Part D plan with Judi Rx.
Judi Health
PBM Industry News Earnings & Financials
Evernorth Holdings Inc. has filed a Form S-1 registration statement, according to a StreetInsider item; full filing text was unavailable.
Evernorth Cigna
PBM Industry News Earnings & Financials
Cigna Group's stock is heading into its earnings report following a dividend decision, according to a brief market preview.
Cigna
Industry Analysis (18) See all Industry Analysis GLP-1 Coverage Policy For brokers
GLP-1s & High-Cost Drugs Cost Containment
Bloomberg reports that fewer US employees will have employer coverage for GLP-1 weight-loss drugs.
Industry Analysis Transparency Requirements For brokers
Audits & Transparency Hidden Fees
Commentary asks whether employers will use newly available visibility into what PBMs are paid, given the fee transparency now accessible to them.
Industry Analysis Rebates & Spread For brokers
Drug Pricing & Rebates
Headline says large employer health plans will receive PBM rebates, but the article text was unavailable, so details are unconfirmed.
Industry Analysis GLP-1 Coverage Policy For brokers
GLP-1s & High-Cost Drugs
Employer GLP-1 coverage is reported to fall to 53%, with workers losing Wegovy or Zepbound coverage in 2027 weighing prices and appeals.
Products & Partnerships (3) Products & Partnerships GLP-1 Coverage Policy For brokers
GLP-1s & High-Cost Drugs Partnership
Employers are pulling back on GLP-1 coverage, and Andel and Novo Nordisk are offering a workaround for plan sponsors.
Novo Nordisk Andel
Products & Partnerships Cost Containment For brokers
Employer Benefits & Plan Sponsors Partnership
Andel is expanding beyond GLP-1 management with CenterWell Pharmacy to help employers lower high-cost drug spending.
Andel Humana Pharmacy
Products & Partnerships Adherence & Access
Patient Affordability
Optum Rx announced it is expanding access to menopause care, according to the headline; the page text was unavailable for details.
OptumRx
340B Federal Legislation
Federal Guidance
Representative Jack Bergman introduced H.R. 10919, the Safety Net Provider Drug Pricing Protection Act, a bill addressing drug pricing for safety net providers.
340B State Law
Federal Guidance
Reps. Matsui and Mann introduced a bipartisan bill aimed at the 340B drug pricing program.
340B Disputes
Five Massachusetts hospitals sued Eli Lilly, seeking to protect patient privacy and restore federally mandated 340B drug discounts.
Eli Lilly
340B Federal Guidance
Disputes
IQVIA published findings on how large duplicate discounts are when 340B and Medicare Drug Price Negotiation (MFP) discounts overlap, the second part of its analysis.