The lawsuit was filed under the False Claims Act, which helps the government combat fraud and requires tripling of damages, ...

A federal judge has ordered CVS Health subsidiary Omnicare to pay $948.8 million in damages and penalties for submitting fraudulent Medicare and Medicaid claims. The order, issued July 7 in the U.S.

CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally ...

The most important philosophy we have of AI is that AI will never make decisions. Period. So AI would help us collect the ...

Pharmacy benefit manager CVS Caremark drops Zepbound coverage, estimating 10-15% savings while Eli Lilly offers self-pay ...

A federal judge ordered CVS Health's Omnicare unit to pay $948.8 million in penalties and damages, in a whistleblower lawsuit ...

CVS Caremark has removed coverage of Zepbound, a GLP-1 weight-loss drug, citing pricing concerns and shifting payer dynamics ...

Do those on Zepbound have to switch to Wegovy after Caremark drops Zepbound from preferred coverage? What options are there?

Currently, Medicare has to wait seven years after a traditional drug gets approved by the U.S. Food and Drug Administration (FDA) before it’s eligible for Medicare price negotiations. Traditional ...

Note that some links may require registration or subscription. Michigan pediatric neurologist Gireesh Velugubanti, MD, was ...

Many proposals to reform the PBM industry miss the forest for the trees, experts said this week. Instead, Congress should go ...