US Specialty Pharmacies: A Guide to Mail-Order Providers
Learn about US mail-order specialty pharmacies. This guide covers market size, key players like CVS & Optum, PBM integration, and specialty drug distribution.
Back to Articles
Articles tagged with “pharmacy-benefit-manager”
The Big 3 PBMs: An Analysis of Market Share & Dominance
Explore the top 3 PBMs controlling 80% of the U.S. market. Updated with 2026 federal reform law, FTC Express Scripts settlement, DOJ UnitedHealth probe, and landmark rebate pass-through requirements.
PBMs Explained: Role in Drug Pricing & Healthcare System
Learn what Pharmacy Benefit Managers (PBMs) are and their role in the U.S. healthcare system. Updated for 2026 with FTC Express Scripts settlement, CAA 2026 federal PBM reform, Medicare Part D changes, and latest state regulations.
Specialty Pharmacy: An Analysis of Key Players & Trends
An in-depth analysis of the specialty pharmacy industry covering key players (PBMs, distributors), market trends, biosimilar competition, PBM reform, and the economics of high-cost specialty drugs. Updated March 2026.
Understanding Drug Formularies, Benefits, and ePA in the US
An in-depth guide to US drug formularies, pharmacy benefits, and prior authorization (PA). Learn how P&T committees, tiers, ePA systems, and the CMS-0057-F interoperability rule shape drug coverage and costs
Health Insurance Formulary: What It Is & How It Works
Learn what a health insurance formulary is. This guide explains the drug list, tiers, and cost-sharing used by PBMs to control prescription costs and access.