The PBM industry continues to evolve through legislative action, litigation, and voluntary industry changes. Below is a brief round-up of ...

When 22-year-old Cole Schmidtknecht walked up to the pharmacy counter, he learned his Advair Diskus inhaler had jumped from under $70 to over $500. He walked away without the medicine. Within a week, ...

Despite the flurry of reform activity throughout the first quarter of 2026, the pace of new PBM regulation and drug pricing reforms shows no sign of tapering off. Instead, both federal and state ...

New federal PBM rules in the 2026 Consolidated Appropriations Act and California’s SB 41 are driving major changes in pharmacy operations, from rebate pass‑through requirements to enhanced portal ...

Rivera, an independent pharmacy payment integrity company, published a new issue brief examining why the current wave of PBM reform raises the bar for pharmacy benefit oversight without replacing the ...

States are advancing legislation to restrict how pharmacy benefit managers operate. In doing so, they are targeting practices such as steering patients to PBM-owned pharmacies, spread pricing, and ...

As of May 2026, pharmacy benefit managers are executing a wave of policy and portal updates that directly impact diabetes therapy management, cost containment, and provider workflows in Southern ...

A legislative deadline caused several Mississippi bills to die, including ones on pharmacy, criminal justice, and land sales. A bill to regulate Pharmacy Benefit Managers (PBMs) died after the House ...

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