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CVS Health, which operates the largest U.S. pharmacy benefit manager, will not add Gilead Sciences’ new HIV prevention drug ...
CVS Caremark identified GLP-1 drugs and Humira as points of contention, but the State Health Plan says that mischaracterizes the issues.
Notably, the case came from a whistleblower lawsuit filed by Sarah Behnke, a former Medicare Part D actuary at Aetna, who ...
State Health Plan claims CVS Caremark withheld $31.9 million in 2023–2024 rebates. Dispute over rebate payments could raise member premiums by up to $500 annually. Contract impasse may lead to ...
Regulators have also imposed $160,000 in fines on Cigna's Express Scripts unit; $66,000 in fines on Rightway PBM Services; ...
CVS Health subsidiary CVS Caremark, Cigna's Express Scripts and UnitedHealth Group's OptumRx collectively hold 70% of the PBM market, according to the American Medical Association. And attorneys ...
CVS Health plans to exit the individual health insurance business also known as Obamacare next year, leaving approximately 1 million Aetna members in 17 states looking for new coverage in 2026 ...