-
California Signs PBM Law: As Federal PBM Regulation Lags, the States Step Up
31 Oct 2025 02:57 GMT
… at Blue Shield of California, a nonprofit health insurance … costs for everyone in California.”
Federal action needed
… January, Blue Shield of California launched its new pharmacy … CVS Caremark — for its prescription drug benefit. Previously, CVS Caremark was …
-
Blue Shield of California Launches New Digital Tool for Medication Transparency
09 Aug 2025 03:01 GMT
… after Blue Shield of California launched another digital tool … January, Blue Shield of California also launched its new … CVS Caremark — for its prescription drug benefit. Amazon provides home delivery … ahead, Blue Shield of California plans to launch additional …
-
Will California finally license pharmacy benefit managers and rein in prescription drug costs?
26 Jul 2025 15:53 GMT
… , will determine whether California finally gets into gear … earlier this year. “California is already behind other … the costs for the prescription drug benefits they provide employees.”
Lopes … publication that reports from California on the most pressing …
-
A Current Snapshot of the Medicare Part D Prescription Drug Benefit
09 Oct 2024 23:11 GMT
… D is a voluntary outpatient prescription drug benefit for people with Medicare provided … York to 18 PDPs in California (Figure 2). In addition, beneficiaries …
-
Conservatives, Let’s Not Make California’s Overregulation Mistake
09 Jun 2025 04:39 GMT
… knows, it’s that California regulates…well, everything. San … -party companies that manage prescription drug benefits for health insurance plans, … the same effects as California’s high taxes, chasing … should trend more in California Governor Gavin Newsom’s …
-
West Virginia sues United HealthGroup’s pharmacy benefit manager over opioid sales
09 Dec 2025 00:03 GMT
… comment.
Pharmacy benefit managers handle prescription drug benefits for health insurance companies, large … ” when selling opioids through a California mail order pharmacy it operated …
-
15 Common Medicare Mistakes and How to Avoid Them
08 Dec 2025 18:02 GMT
… provider headquartered in Santa Clara, California.
The Solution: Opt into additional … Medicare Advantage plan that includes prescription drug benefits but later find that a …
-
California Democrats clash over how to rein in drug industry middlemen
12 Feb 2025 19:22 GMT
… that hire them to oversee prescription drug benefits.
But the proposal, … $7 million combined lobbying California lawmakers and the Newsom … costs.
In addition to California, PBM proposals have been … .”
Under current law, California requires PBMs to disclose …
-
Dual-Eligible Special Needs Plans: Frequently Asked Questions
03 Dec 2025 01:08 GMT
… ;inpatient), B (outpatient), and D (prescription drug) benefits. D-SNPs often offer supplemental … System Medicare Advantage Organization Agreement.
California
California Department of Health Care Services …
-
2025 End-of-Year Plan Sponsor “To Do” List (Part 1) Health and Welfare
25 Nov 2025 18:43 GMT
… (“PBM”) mismanaged the plan’s prescription drug benefits causing millions of dollars of … the individual mandate under ACA, California, the District of Columbia, Massachusetts … “mini-COBRA” statutes (including Arizona, California, and Nevada), some of which …