Rightway trading mark logo

Stay informed on the latest PBM news.

Curious about the latest pharmacy benefit manager news and its impact on your team? Explore articles that expose the real issues in the PBM industry. Check back often for updates.

NYT logo

Featured

The Opaque Industry Secretly Inflating Prices for Prescription Drugs.

A New York Times investigation reveals that pharmacy benefit managers (PBMs) often drive up prescription drug costs by prioritizing their profits over patients, employers, and taxpayers. The big 3 PBMs are accused of inflating prices and steering patients toward more expensive medications.

Read the article here
Filter by:

2024

Lawmakers Plot to Force Health Insurers to Sell Off Pharmacies.

A bipartisan group of lawmakers has introduced a bill requiring pharmacy benefit managers (PBMs) and health insurers to divest their ownership of pharmacies. This move addresses criticism that PBMs' vertical integration creates monopolies in American healthcare, driving up prescription costs.

Read the article here.

2024

The Powerful Companies Driving Local Drugstores Out of Business.

A report discusses how the business practices of PBMs are leading to the closure of independent pharmacies, resulting in reduced access to medications for many communities. The article highlights the need for regulatory scrutiny of PBM operations.

Read the article here

2024

Pressure Mounts on FTC to Investigate Pharmacy Benefit Managers’ Co-Manufacturing Agreements.

There is increasing advocacy for the FTC to examine PBMs' co-manufacturing agreements and their impact on drug pricing. Critics argue that these relationships may be contributing to anticompetitive practices and higher consumer costs.

Read the article here

2024

Confidential Files Detail PBMs’ Backroom Negotiations—and Their Role in the Opioid Crisis.

An investigative article examines how PBMs' confidential negotiations and rebate practices may have contributed to rising drug prices and the opioid crisis. The report suggests that PBMs' influence on drug formularies and pricing has had significant public health implications.

Read the article here

2024

Pharmacy Deserts are Appearing Across U.S. as Rite Aid, Walgreens, CVS Drug Store Closures Spread.

A recent report highlights the increasing number of "pharmacy deserts" in the U.S., where residents lack access to nearby pharmacies due to widespread closures. This trend raises concerns about access to medications and healthcare services in affected communities.

Read the article here

2024

Texas Sues PBMs and Manufacturers Over Insulin Conspiracy.

Texas Attorney General Ken Paxton has filed a lawsuit against major insulin manufacturers and PBMs, alleging a conspiracy to inflate insulin prices. The suit contends that these practices have led to exorbitant costs for patients requiring insulin.

Read the article here

2024

FTC Sues Prescription Drug Middlemen for Artificially Inflating Insulin Drug Prices.

The FTC has initiated legal action against the three largest PBMs—Caremark Rx, Express Scripts, and OptumRx—claiming they have engaged in anticompetitive practices that artificially raise insulin prices. This lawsuit aims to address the impact of PBM practices on the affordability of essential medications for consumers.

Read the article here

2024

Express Scripts Sues FTC to Withdraw Its PBM Report.

Express Scripts, one of the big 3 PBMs, has filed a lawsuit against the Federal Trade Commission (FTC), seeking a retraction of the FTC's July 2024 report. The report alleges that PBMs, including Express Scripts, have been engaging in practices that inflate drug prices.

Read the article here

2024

Chairman Comer Calls on PBM Executives to Correct Hearing Testimony.

House Oversight Committee Chairman James Comer has requested that executives from major pharmacy benefit managers (PBMs) revise statements made during a recent congressional hearing. The Committee's investigation suggests that certain PBM practices may be contributing to higher prescription drug prices.

Read the article here

2024

Federal Government Reveals Negotiated Prices Under Inflation Reduction Act.

The federal government has announced the first set of prescription drug prices negotiated under the Inflation Reduction Act, aiming to lower costs for Medicare beneficiaries. This initiative is projected to save Medicare enrollees significant amounts on their medications starting in 2026.

Read the article here

Related articles and resources.

ftc report tile

Resource

Rightway’s response to the FTC interim staff report.

In response to the recent FTC interim staff report on PBMs, Rightway is proud to show the proactive measures and industry-leading practices we have implemented to ensure transparency, fair pricing, and better healthcare outcomes for our clients and members.

Read more
pharmacy pills

Insights

The hidden forces raising drug prices: A closer look at the PBM exposé from The New York Times.

A New York Times investigation highlights how traditional Pharmacy Benefit Managers (PBMs) inflate drug prices for profit. See how Rightway’s transparent PBM model provides a cost-effective and patient-focused alternative to the big 3 PBMs.

Read more
PBM video tile

Resource

Rightway is the pharmacist in your family: PBM overview.

Watch how Rightway's transparent, aligned PBM model and concierge pharmacy navigation help members receive the most appropriate, cost-effective, and efficient pharmacy care.

Read more

See how Rightway can transform healthcare for your teams.

Schedule a demoarrow