News and Events

Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door

• 11/21/2023
• The Wall Street Journal

Employers and unions are getting fed up with the firms they have used for years to help control their spending on prescription drugs—because their costs keep soaring.

Upstart PBMs aim to shake up the market

• 11/13/2023
• Modern Healthcare

Pharmacy benefit managers operating in the shadows of conglomerates that dominate the industry believe now may be their moment to make inroads in the lucrative market.

Companies such as AffirmedRx, Liviniti, MedOne Pharmacy Benefit Solutions Rx, Navitus Health Solutions, RxPreferred Benefits and SmithRx are employing a twofold strategy. Part one is pitching potential customers on a more transparent business model. Part two is lobbying Congress to pass legislation that would rein in CVS Health subsidiary CVS Caremark, UnitedHealth Group subsidiary OptumRx and Cigna subsidiary Express Scripts and open the PBM business to more competition.

Soothing the Sting of Drug Costs by Choosing ‘Disruptor’ PBMs

• 11/6/2023
• Health Payor Specialist

Geisinger, whose Medicaid members jumped by 45% last year, is one of the payers trying to rein in prescription drug expenses partly by using smaller, transparent PBMs. Geisinger Health Plan says it will move its prescription drug purchases next year to Navitus Health Solutions, as payers look for ways to trim prescription drug prices that are eating up tens of billions of dollars a year.