Insurers are putting a growing focus on specialty drugs covered under the medical benefit, and on re-evaluating the efficacy ...

Successful formulary system management can help ACOs achieve high quality, low cost objectives across the care continuum. This article targets healthcare leaders choosing to participate in the ...

NYU Langone files $24M plan to upgrade hospital's cardiology facilities Patient-monitoring tech startup raises $130M for global expansion Columbia launches simulation to prep hospital executives for ...

A CVS Caremark formulary change in May 2025 led to a short increase in patients switching GLP-1 drugs before prescribing ...

An Assembly bill that prevents health plans from removing a prescription drug from their formulary, or add new restrictions during a contract year, advanced to the next step Thursday. Opponents ...

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 — ...

The MarketWatch News Department was not involved in the creation of this content. NASHVILLE, Tenn., Dec. 10, 2025 (GLOBE NEWSWIRE) -- RxLogic, a leading technology company for pharmacy benefit claims ...

A key feature of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) is its reliance on private insurers (stand alone-drug insurers and Medicare Advantage plans) to ...

Medicare Part D plans in 2026 will exclude 16 commonly prescribed drugs, tighten brand-name coverage, and move more medications to higher-cost coinsurance tiers. While many Part D premiums will ...