Optum Rx's automated prior authorization tool, PreCheck Prior Authorization, is automating almost two-thirds of approved ...
OrionRx's Don Anderson, Pharm.D., outlines near-term and long-term fixes for the blind spots created when members buy ...
OrionRx's Don Anderson, Pharm.D., says drugs filled outside a member’s pharmacy benefit could result in excessive and ...
Judi Health and the group purchasing organization Employers Health have teamed up to launch StarkRx, a modular, cost-plus pharmacy benefit solution. Judi Health’s PBM, Judi Rx, will provide the ...
Rybrevant (amivantamab) plus chemotherapy reached a 34.3-month median survival in EGFR exon 20 insertion-positive lung cancer, Johnson & Johnson said.
GLP-1s now dominate market momentum, with obesity products surging from near-zero in 2022 to $55B annually and diabetes ...
As PBMs plan for 2028 rollout of the PBM transparency provisions of the Consolidated Appropriations Act of 2026 (CAA 2026) ...
GLP-1s account for roughly 25% of pharmacy spend and are projected to keep climbing, yet obesity did not appear among the highest-cost conditions versus cancer, MSK, and cardiovascular disease. As ...
Low perceived HIV risk despite reported high-risk behaviors suggests major educational gaps in correctional settings and ...
Kessler, a principal at Milliman, says employers need to pay attention to their claims and pharmacy benefit contracts.
Kaiser Permanente’s contracting emphasizes acquisition cost and total value, enabling savings to flow to the health system ...
Yes, breaking up is hard to do, acknowledged the president of Vivid Clear Rx. But employers should be "brave" about severing ...
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