New Pharmacy Benefit Manager Rules Shift Focus to Verifiable Accountability

New federal transparency requirements for pharmacy benefit managers (PBMs) are poised to fundamentally change how the industry demonstrates compliance. Rather than simply reporting pricing and rebate data, the new rules require pharmacy benefit operations to prove, at the claim level, how financial outcomes were generated. The new mandates, described in a Tuesday (July 14) MedCity News analysis by Lori Daugherty , CEO of PBM RxLogic , stem from transparency provisions included in the Consolidate