Tag Archives: Optum PBM

The PBM world is shaken up again with United Healthcare’s announcement that it will acquire Catamaran and combine it with their current PBM operation, OptumRx. The deal was announced with United paying a 27% premium for the right to solidify it’s number three position in  the lineup of the latest arrangement of “The Big Three” […]

Twenty years of discussions, bad publicity, lawsuits, settlements and presentations, and choosing a PBM has still retained it’s air of confusion, double-speak and bewilderment! Prescription drug are an integral component in managing overall healthcare costs, and the attempt by plan sponsors and payers to make sense of it all can be a fatiguing exercise. That’s […]

A PBM’s formulary holds the “keys to the kingdom” when it comes to reducing prescription drug costs for a plan sponsor. A formulary is a list of drugs that is developed and maintained by a PBM for use by their clients. It determine what drugs are considered preferred (thus requiring a lower member co-payment) and […]