Pharmacy benefits manager Express Scripts, Inc. has agreed to pay $3.2 million after allegedly failing to follow prescription pricing procedures intended to keep costs down and prevent overcharges in the state’s workers’ compensation insurance system, according to Massachusetts Attorney General …
Several states are probing pharmacy-benefit managers’ business practices in government-sponsored health programs, adding to the scrutiny the middlemen face in Washington for their role in the cost of drugs. At least three state attorneys general are investigating PBMs, in addition …
State regulators are proposing fines against two companies that manage pharmacy benefits for health insurers, saying they operated in Montana without a license. The alleged violations were discovered while the office of the Commissioner of Securities and Insurance was gathering …
Over 20 years, Brian Komoto built a thriving pharmacy in California’s Central Valley. Each day, his nurses would travel the vast agricultural region’s roads to help hepatitis C patients take a grueling regimen of shots. Then, in 2016, 20 percent …
The nation’s largest pharmacy benefit manager will soon limit the number and strength of opioid drugs prescribed to first-time users as part of a wide-ranging effort to curb an epidemic affecting millions of Americans. But the new program from Express …
Rising drug prices contributed to a 2.2 percent growth in pharmacy spending for American workers’ compensation payers in 2015, according to a new report released by Express Scripts. Effective management programs helped lower injured workers’ drug utilization by 2.6 percent …
Prescription drugs spending jumped 13 percent last year, the biggest annual increase since 2003, according to the nation’s largest pharmacy benefits manager. Express Scripts Holding Co. said that the jump was fueled in part by pricey specialty drugs that accounted …
While workers’ compensation pharmacy benefit managers have been utilizing drug formularies for a long time, only Washington, Texas, Ohio and Oklahoma have state-regulated drug formularies in place. Several more states are considering their use as a way to reduce drug …
Prescription narcotic overdoses cause more deaths than cocaine and heroin combined each year. Misuse and abuse of these powerful medications also result in significant extra expense for workers’ compensation payers. St. Louis-based Express Scripts announced the launch of its Morphine …
A study presented at the National Business Group on Health’s (NBGH) Business Health Agenda 2013 conference in Washington, D.C., showed that, on average, employers that use multiple cost management programs had a 50 percent lower specialty drug trend than employers …