Why aren’t all drugs covered by insurance? A formulary is the list of prescription medications covered by a health insurance plan. The list typically has brand-name and generic options. In addition to ...

As health care moves toward a value-based payment model, the pharmacy benefit is going in the opposite direction, one that places unit cost over clinical appropriateness. Have you ever used your drug ...

You may not be taking prescription drugs when you sign up for Medicare at age 65, or when your work coverage ends, but ...

Consumers have one major defense against rising costs, shrinking provider networks and disappearing benefits: Medicare’s fall ...

Express Scripts Holding, a pharmacy benefit manager that negotiates drug prices for many health plans, will launch a formulary with lower list price drugs in an effort to reduce reliance on rebates ...

Pharmacy benefit managers (PBMs) and large employer organizations are taking measures to save healthcare costs in 2017, and for PBMs, formulary exclusions is a fool-proof tactic. “A key to containing ...

Tricare plans next week to expand its coverage of drugs used to treat premenopausal women with low sexual desire, a Tricare official said via email Thursday. Over the last five years, the Food and ...