On August 10, 2026, President Trump signed an Executive Order introducing a new framework for federal childhood vaccine recommendations, categorizing vaccines into three groups…
Specialty drugs now represent more than 50% of total drug spending across pharmacy and medical benefits combined, despite being used by a small percentage of members…
A significant shift in the inflammatory disease market is underway as Pfizer's Xeljanz® (tofacitinib) now faces broad generic competition. With discounts reaching…
As a PBM, we closely monitor emerging therapies that have the potential to impact patient outcomes, healthcare costs, and benefit plan strategies. One area generating significant attention right now is the growing interest in peptide therapies…
Federal agencies have released the Affordable Care Act (ACA) and IRS indexed limits applicable to plan years beginning on or after January 1, 2027. Given the significant increase in the ACA Maximum Out-of-Pocket (MOOP) limits for 2027…
