pharmacy benefit managers

Ohio managed-care company makes big change to drug reimbursements

BY: - November 2, 2020

After years of complaints by community pharmacies, Ohio's largest Medicaid managed-care company has announced a huge overhaul to the way it reimburses them for prescription drugs.

Supreme Court hears arguments over states’ ability to regulate drug costs

BY: - October 7, 2020

How much leeway states have to control drug middlemen was at the heart of arguments Tuesday before the U.S. Supreme Court. 

Community pharmacy group says CVS, other bigs are unfairly steering patients

BY: - September 22, 2020

A huge majority of community pharmacists have lost patients in the last six months due to unfair practices by much larger competitors, an industry group that represents small pharmacists said last week.

Expert warns: Ohio Medicaid poised for big trouble

BY: - August 27, 2020

The Ohio Department of Medicaid is not being transparent about a process meant to bring transparency to the system by which the state buys billions of dollars worth of prescription drugs each year. But what is becoming apparent as the agency belatedly follows a law requiring it to use just one pharmacy middleman, it’s actually […]

Ohio attorney general sues second drug middleman

BY: - July 14, 2020

Ohio Attorney General Dave Yost is taking a second pharmacy benefit manager doing business with the state to court. Yost on Monday announced that his office had filed suit in the Franklin County Court of Common Pleas against St. Louis-based Express Scripts over work the company had done since 2010 on behalf of the Ohio […]

Despite big predictions, not much state legal action against drug middlemen

BY: - June 19, 2020

There was a lot of talk by state officials about reigning in prescription middlemen working for the state. But on the legal front, there hasn’t been a lot of action. In February, 2019, as Ohio Attorney General Dave Yost announced his office would move against one company  accused of bilking the Bureau of Workers’ Compensation, […]

After months of questions, Ohio Medicaid to start paying pharmacists for coronavirus testing

BY: - June 15, 2020

After months of questions and promises of transparency, officials with the Ohio Department of Medicaid on Monday told an obscure state committee when they’ll start reimbursing community pharmacies to test one of the state’s most vulnerable populations for coronavirus. To contend with shrinking state budgets, the department also floated the possibility of draconian cuts, including […]

House reps target ‘discriminatory’ health insurance practice

BY: - February 19, 2020

Two lawmakers pitched a bill Tuesday they say would block insurers from a practice that shifts health care costs onto patients with chronic diseases who require expensive drugs. Speaking to the House Health Committee, Reps. Susan Manchester, R-Waynesfield, and Thomas West, D-Canton, proposed prohibiting insurers from using “copay accumulator” policies. These policies prohibit patients from […]

Farmers bullish on hemp, Dayton locals winning Oscars, and the costs of Rx drugs

BY: - February 11, 2020

Each day in our newsletter, we are highlighting stories and commentary from other media big and small throughout Ohio and the nation. If you’d like to get this feature directly to your inbox, please sign up for our newsletter here.  Catching Our Eye: Hemp dreams. Mahoning Matters is reporting, “Ohio farmers cautiously optimistic about hemp industry.” “Ohio’s farmers […]