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Pharmacy Cost Trends

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

Recent News

Hospital industry sues to block HHS' 340B rebate pilot (again)

Fierce Healthcare

HHS: 340B 'expanded beyond its original intent,' incentivizes consolidation

Fierce Healthcare

PhRMA launches new legal challenge as CMS brings 'most favored nation' pricing to Medicare Part B

Fierce Healthcare

CD&R, McKesson acquiring infusion therapy provider Option Care Health for $5.8B

Fierce Healthcare

When rebates rise but pharmacy costs keep climbing

Insurance Business

Employers are getting hurt most by $12.7 billion specialty drug waste

Insurance Business

PBM disclosure rules still leave benefits brokers with unanswered questions

Insurance Business

Most postpartum GLP-1 starters had no qualifying diagnosis, US study finds

Insurance Business

Doctors Should Keep an Eye on Your Mix of Medication. If They Don’t, You Should.

KFF Health News

HRSA names 10 drugmakers for revised 340B rebate pilot ahead of 2027 launch

Fierce Healthcare

GLP-1 Drugs Force Insurers to Weigh Today’s Pharmacy Bill Against Tomorrow’s Health Savings

Risk & Insurance

Why Prime Therapeutics is betting on bridging the gaps between medical, pharmacy benefits

Fierce Healthcare

HRSA discloses manufacturers approved for revised 340B rebate pilot

Healthcare Dive

CMS finalizes model that aims to bring most-favored nation pricing to Part B

Fierce Healthcare

Plan sponsors’ PBM satisfaction stable in 2026: PSG survey

Fierce Healthcare

GLP-1 coverage is a cardiometabolic risk strategy, says Sun Life exec

Insurance Business

Waltz Health, Fresenius Kabi partner for direct-to-payer biosimilar program

Fierce Healthcare

Hospital outpatient departments' higher drug reimbursement rates drive $12.7B in spending: EBRI

Fierce Healthcare

4 largest PBMs control 75% of U.S. market, AMA finds

Fierce Healthcare

Flat-fee drug subscriptions are courting your clients' employees

Insurance Business

PBM renewal scores hit decade low as plan sponsors eye the market

Insurance Business

MedImpact PBM breach leaves employer plan members' health data exposed

Insurance Business

Republicans and Democrats Find a Unifying Target: Pharmacy Benefit Managers

KFF Health News

Journalists Discuss What RFK Jr. Recently Told the Anti-Vaccine Group He Founded

KFF Health News

Topical Medication Trends

Risk & Insurance

340B hospitals lag behind peers in charity care spending: report

Healthcare Dive

How CVS Caremark builds the next era of pharmacy benefits

Fierce Healthcare

How TrumpRx Brand-Name Drug Prices Compare to Other Countries

KFF

Analysis: Prices for Many Brand-Name TrumpRx Drugs Are Cheaper than the Average Price in Other Wealthy Countries, But Are Almost as Likely To Be More Expensive

KFF

Florida AG sues PBMs, pharmas over rise in insulin prices

Fierce Healthcare
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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