Demand for Capital Rx's financially aligned, innovative, and tech-driven approach to healthcare and pharmacy benefit ...

The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.

Optum Rx's new cost-based program uses an internal algorithm that leverages multiple available industry data sources, such as ...

The changes come as pharmacy benefit managers face scrutiny for how they require doctors and patients to seek its approval for certain treatments and drugs.

Optum Rx will align payment models more closely to the costs pharmacies may face due to manufacturing pricing actions effective immediately and with full implementation by January ...

Like many residents of western North Carolina, Taylor Jones and Jonna Munroe never imagined how devastating Hurricane Helene would be for their community. (CNN) -- Pharmacy benefit managers, which ...