The out of pocket costs for covered medications goes down but you need to make sure your prescriptions are still covered ...

The Medicare Part D program redesign created by the Inflation Reduction Act is leading UnitedHealthcare to add deductibles to ...

When the user enters a drug into the text box and clicks search, the system searches the current formulary first (brand and generic names). If a match is found for a particular medication ...

It’s that time of year again: In most states, the Affordable Care Act’s annual open enrollment season for health plans begins ...

The cap applies to those who have Part D prescription drug coverage, whether through a stand-alone plan or as part of a ...

This strategy has been useful in achieving physician buy-in to formulary management before its subsequent application in more traditional cost-minimization strategies in medication use.

Medicare expert Michelle Robich said she compares over 30 plans to help enrollees get the best benefits for the lowest cost.

PBMs are putting weight loss drugs, including Wegovy and Zepbound, on their national formularies, but coverage by plans is ...

Whatever the outcome of the countering lawsuits, it will be a challenging period for PBMs, given the FTC's actions on alleged ...

You will be able to provide input into which medications are covered under Medicaid Monday during a virtual meeting hosted by ...

"Medicare is lot to take in and understand and it’s nearly impossible to dissect and follow the 600 page manual." ...

The presenters outlined several key strategies to drive increased biosimilar adoption and utilization. One critical element ...