On October 11, 2025, California Governor Gavin Newsom signed Senate Bill 41 (SB-41) into law, introducing a comprehensive set of new regulations for pharmacy benefit managers (PBMs) operating in the ...

Compensation reforms prohibit price- or rebate-linked PBM revenue in Part D, pushing flat service-fee models and broadly capturing affiliates such as rebate GPOs and aggregators. Reform priorities aim ...

Experts speaking during a recent PLANSPONSOR Roadmap session discussed how pharmacy benefit managers drive the cost of prescription drugs and what to watch for in contracts. Pharmacy benefit managers, ...

There have been a series of court cases and federal legislation targeting the spread pricing model often used by pharmacy benefit managers (PBM). Spread pricing involves two points of time in ...

If there is one thing that leaders from both sides of the political aisle in Washington, DC can agree on, it’s that pharmacy benefit management (PBM) reform is needed – and needed now. In 2024, nine ...

PhRMA is again turning up the heat on both big insurance companies and their pharmacy benefit managers (PBMs) in a new ad highlighting middlemen that “own it all.” Healthcare consolidation—where big ...