pharmacy-benefit-managers
Every record this desk has filed under pharmacy-benefit-managers, newest first, each with the number of sources it can still show you.
CMS proposes a Medicare rule that would eliminate some generic-drug copays, require Medicare Advantage provider-directory accuracy, and limit PBM pay, starting in 2028
The Centers for Medicare & Medicaid Services has proposed a rule, scheduled to be published in the Federal Register on October 20, 2026, to carry out three sections of the Consolidated Appropriations Act, 2026. It would zero out the generic-drug copay for about 6 million low-income enrollees, make Medicare Advantage plans verify their provider directories and charge only the lower cost sharing when an enrollee relied on a wrong listing, and limit pharmacy benefit manager pay to flat service fees, mostly from 2028. Comments are due at 5 p.m. Eastern Standard Time on December 15, 2026.
Also filed undermedicaremedicare-advantageprescription-drugsfederal-register
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