Medicare Part D coverage is never static, but 2026 is shaping up to be a particularly volatile year for formularies. Thanks to new legislation and aggressive cost-cutting by plan administrators, ...

The hospital formulary system is an ongoing process that evaluates and selects the safest, most effective, and most economical care for hospitalized patients. As healthcare continues to change, so ...

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 ...

Caremark, Express Scripts and OptumRx — the three largest pharmacy benefit managers in the U.S. — increased the number of drugs excluded from their formularies in 2023, according to a Jan. 10 blog ...

A new class-action lawsuit alleges CVS Caremark unlawfully changed its coverage for popular GLP-1 drug Zepbound. Earlier this year, Caremark revealed that it would remove Eli Lilly's blockbuster drug ...

Insurance coverage isn't what it used to be when it comes to prescription drugs. Insurance companies' lists of covered drugs, called formularies, are shrinking. In 2010, the average Medicare formulary ...

A collaboration between a drug plan and clinical pharmacists led to nearly 50% of members successfully switching to a preferred dipeptidyl-peptidase-4 inhibitor. Results: Initially, more than 50% of ...

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 — ...

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, ...