What changed today in Regulatory: 1 final rule
Every new official record on the Pharmacy, Compounding & Regulatory Intelligence desk since this morning, each linked to its primary source.
Automated from official records2 sources1 min read
PBMs & reimbursement
Pharmacy benefit manager practices, pharmacy reimbursement and related legislation and regulation.
Emerging
- Editorial attention
- Emerging
- Tracked this week
- 2
- Sources this week
- 2
- Last activity
- 3 days ago
Signal strength reflects editorial attention across tracked sources — not medical certainty or strength of evidence.
- Pending editorial review
A system check is an automated check of the official sources, not a human review. An editorial review is recorded only when one of our editors has reviewed the page.
PBMs & reimbursement at a glance
- About this topic
- Pharmacy benefit manager practices, pharmacy reimbursement and related legislation and regulation.
- Current status
- No editor-reviewed status summary yet. The official records below update automatically.
- Last updated
- Primary sources
- Latest official record: Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure (opens the source in a new tab) (Federal Register, Nov 1, 2026)
- Key facts from tracked records
- Next verified date: Comments close: Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026 —
- 3 NPHLA briefings on this topic
What’s the latest on PBMs & reimbursement?
3 totalWhat changed today in Regulatory: 1 proposed rule, 1 safety alert
Every new official record on the Pharmacy, Compounding & Regulatory Intelligence desk since this morning, each linked to its primary source.
Automated from official records2 sources1 min read
What PBM reform proposals would change for pharmacies
Pharmacy benefit managers sit between drug manufacturers, health plans and pharmacies. Reform proposals target how PBMs are paid, how they reimburse pharmacies and what they must disclose. Here is what is already in force and what is only proposed.
AI-assisted · Editor reviewed4 sources2 min read
What do the official records show?
Primary sources and peer-reviewed research- Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure (opens the source in a new tab)
The Department is issuing a final regulation that will require providers of pharmacy benefit management services and affiliated providers of brokerage and consulting services to disclose information about their compensation to fiduciaries of large, self-insured group health pl…
- Medicare Program; Implementation of Sections 6219, 6220, and 6224 of the Consolidated Appropriations Act, 2026 (opens the source in a new tab)
This proposed rule would implement section 6219 (Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals), section 6220 (Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act), and section 6224 (Modernizing and Ensuring Pharmacy Benefit…
- Request for Information (RFI): Pharmacy Benefit Manager Compensation and Data Collection (opens the source in a new tab)
This request for information (RFI) solicits technical input on the services and business practices of pharmacy benefit managers ("PBMs") and their affiliates to inform implementation of recent legislation. It specifically focuses on gathering information to inform two specific…
Industry coverage
Headlines link to the original publication- The Outcome-Based Program That Could Reshape Pharmacists’ Roles (opens the source in a new tab)
- Medicare finalizes physician pay cut for 2027 (opens the source in a new tab)
- PBM Audit Practices Under Scrutiny: What the House Inquiry Means for Independent Pharmacies (opens the source in a new tab)
- Changing NSCLC Immunotherapy Practice: Data, Formulations, Payers, and Operations (opens the source in a new tab)
- US Lost Over 3000 Pharmacies From 2022 to 2024, Mostly Chains (opens the source in a new tab)
- Medicare spends more on hospices owned by private equity firms, study finds (opens the source in a new tab)