Next-Gen PBM Capital Rx Becomes a Tech Co: Inside New PBA Biz, $106M Series C & Big Plans
by JESSICA DAMASSA What’s the bigger news coming out of Capital Rx: that the next-gen PBM just closed a $106 million dollar Series C? Or, […]
PBM
Register for MedCity INVEST Digital Health and take part in a discussion on pharmacy benefit management
The MedCity INVEST Digital Health conference in Dallas September 28 in collaboration with Health Wildcatters marks our first conference in the Lone Star state and […]
Capital Rx snags $106M to enhance digital platform, increase user base
Capital Rx recently closed a $106 million series C funding round, increasing the pharmacy benefit manager startup’s overall funding to $175 million. The company will […]
Industry middlemen driving up prices of generic drug prescriptions as much as 20 percent: research
U.S. consumers are overpaying billions for generic drugs due to the cost being driven up by middlemen in the pharmaceutical industry, according to a report […]
3 forecasts for the PBM industry in 2022
The current landscape heading into 2022 will keep pharmacy benefits under the microscope. Plan sponsors will evaluate their PBM’s pricing model to determine if their […]
How ICER will conduct it’s “Barriers to Fair Access” Assessment
Last fall, ICER published a white paper titled “Cornerstones of ‘Fair’ Drug Coverage: Appropriate Cost-Sharing and Utilization Management Policies for Pharmaceuticals.” To paraphrase, ICER’s goal […]
Rebates and out-of-pocket cost
In recent decades, drug prices have risen. To offset this cost, pharmacy benefit managers have negotiated increasingly large rebates which drug manufacturers pay health insurers. […]
GoodRx leadership downplays Amazon Pharmacy worries despite lackluster stock price
In a month where GoodRx’s stock has been trading below IPO levels, the startup’s leadership says Amazon Pharmacy still isn’t a threat. Citing third-party data, the […]
Meet Rightway: The Little-Know $1.1B Care Navigator PBM Startup That Just Scored $100M
By JESSICA DaMASSA, WTF HEALTH Despite nearly 900 employer clients (including big brands like Burger King, Kroger, and DoorDash), a net promoter score of 84, […]
WithMe raises $20M to help patients navigate their prescriptions
WithMe Health, a startup trying to build a new approach to pharmacy benefits, spun off a medication guidance service that can be layer on top […]
Some startups grapple with USPS delays in medication delivery
Some healthcare startups that offer at-home prescription deliveries and test kits have experienced delays with the USPS. They shared how they’re navigating the changes.
PBM Startup Capital Rx Starts Prescription Drug Pricing Shake-Up with Walmart Partnership
By JESSICA DaMASSA, WTF HEALTH A startup PBM? Partnered up with Walmart to bring “everyday low prices” to prescription drug pricing? Is this too good […]
CVS builds out digital health program with five more companies
CVS Caremark added five new companies to its Point Solution Management Service, which it launched last year to make it easier for businesses to implement […]
Walmart confirms a new avatar — it’s also a health insurance agency
Walmart quietly launched a new health insurance business. The company, called Walmart Insurance, was filed with the Arkansas Secretary of State last month.
