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

Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit ... step forward in changing the reimbursement model for our pharmacies, who ...

Amid growing legislative pressures and industry debates, pharmacy benefit managers (PBMs) are exploring new strategies to ...

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

Optum Rx is shifting to a new pharmacy reimbursement model that should result ... It’s the latest move from a major drug middleman to reform how pharmacies are paid amid widespread criticism ...

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 ...

A bill approved by the Alabama Senate sets a $10 drug dispensing fee for pharmacists while also seeking to regulate the ...

Having to jump through hoops with a pharmacy benefit manager (PBM), or what Prakash calls a “middleman,” doesn’t help. The Big 3—Express Scripts, Caremark, and Optum—control 80% of the ...

Today just three of these large companies, ExpressScripts, OptumRx ... reform seriously. HSB 99 marks a critical first step — requiring PBMs to share rebates with patients and improving ...