pharmacy benefit managers

Gov. DeWine speaks to reporters about vetoes
Karen Kasler

Many of Gov. Mike DeWine’s 25 budget vetoes had to do with changes to Ohio’s Medicaid system. And part of that involves the two pharmacy benefit managers or PBMs the state uses as middlemen between Medicaid and pharmacists.

A lot of the work on the state budget happens at night at the Statehouse.
Karen Kasler

The two-year state budget is headed to a conference committee Tuesday to work out significant differences between the House and Senate versions. And there isn’t much time to deal, because the budget must be signed by Sunday night.

Attorney General Dave Yost outlines his proposals on PBMs at a press conference in his office.
Karen Kasler

Ohio’s attorney general wants lawmakers to make changes to the way the state deals with pharmacy benefits managers. Those are the private companies that handle prescription drug buys for its current and retired employees, Medicaid recipients and the workers’ comp system.

Attorney General Dave Yost (far left) sits on a panel with Treasurer Robert Sprague, Auditor Keith Faber and Secretary of State Frank LaRose at a forum sponsored by the Ohio Associated Press.
Andy Chow

Ohio’s attorney general said at a session with the Ohio Associated Press that one of the prescription drug middlemen working with the Bureau of Workers Compensation took millions of dollars in overpayments that rightfully belong the state. 

Karen Kasler

The state auditor is urging lawmakers to tell Ohio Medicaid to halt its plan to change its contracts with two pharmacy benefits managers over the way those prescription drug middlemen price their services.

Ohio Medicaid

Ohio Medicaid is telling its five managed care plans to sever their contracts with two pharmacy benefits managers, and to work up new deals by the beginning of the year.

CVS Caremark

It’ll be at least a week before the state will release a full report it commissioned on how much it’s paying its pharmacy benefit managers compared to how much those PBMs are paying out to pharmacies for drugs for Medicaid recipients.

Andy Chow

A new audit commissioned by Ohio’s Medicaid program shows that there’s a nearly 9 percent differential between what the state pays the two companies managing Medicaid pharmacy benefits and what those companies pay pharmacies for those drugs. The head of the office that manages Medicaid isn’t ready to say whether that’s appropriate or a rip-off.

Shutterstock.com

Ohioans who go to the pharmacy to pick up prescriptions sometimes pay more out of pocket with their insurance card than they would have if they didn’t have coverage. But state regulators are doing something to try to ensure Ohioans pay the least possible.

Karen Kasler

State lawmakers want more information about the billing practices of companies that handle prescription drug benefits for millions of Medicaid recipients in Ohio. That's because they’re being accused of using the pharmacies they operate to drive smaller pharmacies out of business.

Jo Ingles

Sponsors of a bipartisan bill in the state Legislature say they have a plan to lower the price of prescription drugs. But it doesn’t do it the same way as the issue Ohio voters rejected in November – it’s aimed at the middlemen in the insurance process, pharmacy benefit managers.