pharmacy benefit managers

Person at a pharmacy handing a pharmacist a piece of paper
By  Jessica Hagen 12:56 pm January 11, 2024
An antitrust lawsuit has been filed against Cigna-owned online pharmacy and pharmacy benefit manager (PBM) Express Scripts by several community, independent pharmacies. The suit alleges the company teamed with rival PBMs to fix pharmaceutical reimbursement rates and fees and collect a portion of the revenue. PBMs manage pharmacy benefits for healthcare plans, and can negotiate prescription prices...
By  Dave Muoio 04:31 pm December 12, 2019
About eight month after its unveiling, Express Scripts has now revealed the companies and programs it is including in the inaugural cohort of its digital health formulary — the first such resource from a pharmacy benefits manager designed to help clients review vetted digital health programs. The formulary is comprised of 15 clinically validated digital health programs addressing the management...
By  Dave Muoio 02:32 pm July 26, 2019
In many respects, the pharma industry’s operations are still in the early stages of technological  revolution, and there’s no better example of this than its gradual adoption of digital health and digital therapeutics. On one hand, more and more groups are regularly striking new partnerships that supplement existing drug treatments with digital tools, while Novartis continues its work with Pear...
By  Jonah Comstock 04:33 pm July 27, 2017
Sempre Health, a San Francisco-based company that uses monetary incentives to encourage timely prescription refills, officially launched last week with $2.5 million in funding from Social Capital Partnership, quietly raised last year. Using SMS, Sempre works with pharmacy benefit managers to inform patients about discounts on their prescriptions — and then those discounts change to incentivize...