An Assembly bill that prevents health plans from removing a prescription drug from their formulary, or add new restrictions during a contract year, advanced to the next step Thursday. Opponents ...

As health care moves toward a value-based payment model, the pharmacy benefit is going in the opposite direction, one that places unit cost over clinical appropriateness. Have you ever used your drug ...

Delving deep into drug prices often requires a special vocabulary. Here are some definitions of frequently used terms to help you out on your journey. This is similar to "step therapy," a provision in ...

Learn how pharmacy and health plans are under scrutiny, affecting prescription drug pricing and oversight in the healthcare ...

Express Scripts Holding, a pharmacy benefit manager that negotiates drug prices for many health plans, will launch a formulary with lower list price drugs in an effort to reduce reliance on rebates ...

FILE - Packaging for AbbVie's drug, Humira. Patients who take the autoimmune disease treatment can get some price relief when lower-cost, biosimilar versions are included on health plan formularies.

The MarketWatch News Department was not involved in the creation of this content. NASHVILLE, Tenn., Dec. 10, 2025 (GLOBE NEWSWIRE) -- RxLogic, a leading technology company for pharmacy benefit claims ...

Health systems’ pharmaceutical spending is expected to rise by up to 6 percent in 2019, according to a study published in the American Journal of Health-System Pharmacy. For these organizations — ...

Active duty families in Tricare Prime Remote in the U.S. will have a $0 copay for covered prescriptions outside military ...

Officials are warning about delays as new TRICARE copay hikes drive military families to switch pharmacies, reshaping where ...

NASHVILLE, Tenn., Dec. 10, 2025 (GLOBE NEWSWIRE) -- RxLogic, a leading technology company for pharmacy benefit claims processing that provides a SaaS-based platform of smart adjudication solutions, ...