The recent dismissal of an employee-led class action lawsuit against Johnson & Johnson (J&J), which alleged mismanagement of the health plan's prescription drug benefit, might give health plan ...

In this Golden Age of government programs, the health plan industry has never had more exposure to the generally poor performance of pharmacy benefit managers (PBMs). Performance metrics in Medicare, ...

From our years of counseling clients on effective pharmacy benefit management (PBM) contracting – from procurement to contract execution – Wiley Rein knows that many Plans (health plans/plan ...

The law requires PBMs that provide services to group health plans (i.e., ERISA-governed fully insured and self-funded plans) to comply with new requirements taking effect in 2028-2029, including: 100% ...