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In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.
In 2023, about 80% of all prescription drug claims in the U.S. were processed by only three companies. VC-backed Rightway CEO and cofounder Jordan Feldman says there’s an opportunity for disruption.
CVS' Caremark, Cigna's Express Scripts and UnitedHealth Group's Optum control the majority of pharmacy benefit management in the U.S., while their parent companies operate health insurance businesses.
Three companies controlled 79% of U.S. pharmacy benefit management in 2022, according to the data platform Statista: CVS Caremark with 33%, Express Scripts at 24%, and OptumRx owns 22% of the market.
The Federal Trade Commission (FTC) on Tuesday released its second interim report on pharmacy benefit managers (PBM), saying the major industry middlemen generate billions in revenue through ...
In late December, President-elect Donald Trump put pharmacy benefit managers, or PBMs, on notice. Denouncing the $557 billion industry as “horrible middlemen,” responsible for—and “rich as ...
On Wednesday, a bicameral group of Republican and Democrat lawmakers held a press conference discussing the need for pharmacy benefit manager reform to protect small pharmacies across the country ...
Pages in category "Pharmacy benefit management companies based in the United States" The following 22 pages are in this category, out of 22 total. This list may not reflect recent changes .
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