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Pharmacy Cost Trends

Prescription drug spending trends, specialty pharmacy costs, and their impact on health insurance pricing.

Recent News

CVS' Omnicare unit agrees to $440M settlement with DOJ in ongoing fraud case

Fierce Healthcare

Health tech startup Forus inks partnership with GI medical society to improve medication access

Fierce Healthcare

Texas Lawmakers Continue Push to Ban TCH Products

Insurance Journal

Tampa General Hospital sues Eli Lilly over pulled 340B discounts

Fierce Healthcare

Independent pharmacies hit Prime Therapeutics with antitrust suit over alleged price fixing

Fierce Healthcare

Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead.

KFF Health News

CMS' 2027 outpatient pay proposal brings 340B, site-neutral changes, to hospitals' dismay

Fierce Healthcare

Medicare slashes 340B payments, broadens site-neutral policies in proposed 2027 payment rule

Healthcare Dive

A Mom Said Infant Formula Killed Her Baby. The Manufacturer Didn’t Tell the FDA.

KFF Health News

Startup Queue lands $12.6M to launch autonomous robotic pharmacy kiosks

Fierce Healthcare

Court dismisses PBMs’ lawsuit against FTC following insulin settlements

Healthcare Dive

Evernorth unveils new AI-powered specialty pharmacy program, Pharmacy Forward

Fierce Healthcare

Top FDA gene and cell therapy regulator to step down

Healthcare Dive

How payers, drugmakers can collaborate to drive more outcomes-based contracts

Fierce Healthcare

Nearly Four Million Medicare Beneficiaries Could Be Eligible for the Temporary Medicare GLP-1 Bridge Program Covering These Drugs for Weight Loss

KFF

Nearly Four Million Medicare Beneficiaries Met the Eligibility Criteria in 2023 for the Medicare GLP-1 Bridge

KFF

She Struggled To Get a Lifesaving Drug Even After Insurers Vowed To Help

KFF Health News

As PBM industry shifts, LucyRx and Abarca Health merge to build scale

Fierce Healthcare

Pharmacists Mutual launches PM Healthcare Protect

Coverager

Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know

KFF Health News

With Medicare's GLP-1 'bridge' coming soon, Walmart expands weight management supports for consumers

Fierce Healthcare

Cassidy's new plan to overhaul 340B: Rebates, contract pharmacy limits and more changes

Fierce Healthcare

First Stop Health expands weight management program, shares first-year results

Fierce Healthcare

Pfizer Dismissed From States’ Drug Price-Fixing Lawsuit

Claims Journal

Florida AG to probe CVS for anticompetitive pharmacy practices

Fierce Healthcare

Florida launches probe into CVS for alleged anticompetitive pharmacy practices

Healthcare Dive

Pharmaceutical Trade Group Files Lawsuits to Block State Laws on PBMs

Plan Adviser

HHS, responding to China’s rise, moves to fast-track early drug research

Healthcare Dive

PCMA Sues to Block Illinois, Tennessee PBM Laws, Citing ERISA Preemption

PLANSPONSOR

Hospitals irate after Eli Lilly follows through on 340B ultimatum

Healthcare Dive
Featured Analysis

Healthcare Cost Trends 2026: What Actuaries Need to Know About the Forces Reshaping Medical Spending

Medical cost trends at 8.5–9.5%, GLP-1 drug costs reshaping pharmacy spend, behavioral health surges, oncology spending acceleration, and actuarial implications for pricing, reserving, and employer plan design.

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