Several pharmacy groups commended CMS for issuing a final rule eliminating Part D plans’ and PBMs’ use of DIR fees beginning Jan. 1, 2024, but indicated that more actions are needed to address PBMs’ ...

The Centers for Medicare and Medicaid Services is taking aim at pharmacy benefit manager spread pricing practices that it says results in an upcharge to Medicaid and CHIP managed care plans and higher ...

CMS published plans Dec. 23 for its voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” — or BALANCE — model. The announcement comes weeks following the White House’s ...

In the last month, CMS has announced several policy changes related to drug costs, COVID-19 and more that affect pharmacy operations. CMS is limiting out-of-pocket insulin costs for Medicare ...

WASHINGTON The Centers for Medicare & Medicaid Services today issued a revised definition of multiple-source drugs to be reimbursed under its new payment formula for Medicaid prescriptions, even while ...

CMS on Friday finalized a rule it estimates will save the federal government $75.4 million over the next decade in Medicare Advantage and Part D payments, with the agency crediting cost-savings to ...

CMS said Monday it is easing restrictions on how Medicare Part D manages the 6 protected drug classes that must be included in those plans, is taking action on pharmacy rebates, and is allowing step ...

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On April 1, New York will transition its Medicaid pharmacy benefit program out of managed care and back to a fee-for-service model. On the same day, the state Legislature is also set to vote on a ...

Washington, DC, Jan. 07, 2022 (GLOBE NEWSWIRE) -- On Thursday, the Centers for Medicare and Medicaid Services released a proposed rule that would require Part D plans to apply all price concessions ...