Wasteful drugs could be driving up your pharmacy benefits spend–here's how to evaluate, identify and establish a high-performance formulary. Working with your PBM to identify drugs where less ...

Mark Cuban, the billionaire entrepreneur, expressed his concerns about the implementation of the Medicare for All Act ...

Integrating new drugs into our formularies can be a simple or complex process. For drugs for which no other alternatives exist, it’s a fairly straightforward decision. The rules and regulations vary ...

To resolve the problems clinicians faced with printed formularies, an online strategy was developed. Vendor-supplied packages were evaluated but did not satisfactorily meet the needs of the ...

Forbes contributors publish independent expert analyses and insights. Joshua Cohen is a Boston-based writer who covers health policy. Former U.S. Supreme Court Justice Louis Brandeis popularized the ...

Experts say you can make the most of this year’s open enrollment period by being a savvy insurance shopper and finding the ...

Objective: To determine the extent to which the strictness of the criteria used to control utilization of drugs not on a Medicaid preferred drug list (PDL) changes physician prescribing habits for non ...

The Department of Veterans Affairs (VA) Pharmacy Benefits Management Services and the Institute for Clinical and Economic Review (ICER) recently announced a collaboration in which the VA will use the ...

Pharmacy benefit managers work as third parties that go between health insurance providers and drug manufacturers. Pharmacy benefit managers (PBMs) help negotiate costs and payments between drug ...

From 2007 to 2016, Mylan raised the list price of its EpiPen about 500%, from just under $100 to more than $600. From 2002 to 2013, insulin prices more than tripled. From 2012 to 2019, the average ...