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citizenptnewsin.bsky.social
DuBois County commissioners are poised to lock in two-year holds on dental and vision plans while exploring new pharmacy benefits that could save thousands—what does this mean for you?

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#DuboisCounty #IN #CitizenPortal #PharmacyBenefits #VisionCoverage #DentalCare
Commissioners favor two-year dental and vision holds; PBM review highlights potential savings
DuBois County staff recommended renewing dental with HRI and vision with VSP on two‑year holds to minimize disruption; a separate pharmacy‑benefit‑manager (PBM) procurement yielded two finalists with significantly lower projected per‑member costs than the incumbent, and staff recommended a final decision in two weeks.
citizenportal.ai
September 25, 2026 at 12:30 AM
coolv.bsky.social
This could be huge.
#PBM #Pharma #Healthcare #PharmacyBenefits

www.ftc.gov/news-events/...
FTC Sues Prescription Drug Middlemen for Artificially Inflating Insulin Drug Prices
Today, the Federal Trade Commission brought action against the three largest prescription drug benefit managers (PBMs)—Caremark Rx, Express Scripts (ESI), and OptumRx—and their affiliated group pur
www.ftc.gov
September 20, 2024 at 4:57 PM
citizenptnewsca.bsky.social
CalPERS board member Yvonne Walker admits the switch to CVS Caremark has caused chaos for 580,000 retirees, with reports of delayed shipments and increased costs.

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport
CalPERS board member acknowledges problems after switch to CVS Caremark, pledges follow-up
CalPERS trustee Yvonne Walker told retirees the move from OptumRx to CVS Caremark affected about 580,000 members, acknowledged rollout problems including higher co-pays and new prior-authorization rules, and promised staff follow-up and a direct contact for urgent cases.
citizenportal.ai
April 2, 2026 at 6:02 AM
chbrp.bsky.social
How do pharmacy benefits work—and what factors shape coverage and access? CHBRP’s new explainer provides a clear, evidence-based overview of the key elements policymakers and the public should understand. Check it out here: https://loom.ly/2mfB7Gc

#HealthPolicy #PharmacyBenefits #CaliforniaHealth
A blue background with images of prescription pills in the background. There is white text and the CHBRP logo in the foreground. A blue background with images of stethoscopes in the background. There is white text and white images of a syringe and a stethoscope in the foreground. A blue background with images of dollar signs in the background. There is white text and a table in the foreground. A blue background with images of prescription pill packs in the background. There is white text and white images of people, a clipboard, dollar signs, and a graph in the foreground.
September 16, 2026 at 8:07 PM
citizenptnewsak.bsky.social
The district is tackling skyrocketing health insurance premiums with a bold plan to shift to a self-funded model by July 2027—could this be the solution to rising costs?

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#Borough #AK #HealthInsurance #CitizenPortal #PharmacyBenefits #EmployeeCoverage
District proposes RFP and aims for self‑funded health plan by July 2027
Facing large premium increases in its fully insured plans, the district presented data on rising insurance costs and a plan to issue an RFP this month with a goal of a self‑funded arrangement starting July 1, 2027; leaders flagged pharmacy benefit management as a key area to separate and evaluate.
citizenportal.ai
September 11, 2026 at 10:31 PM
citizenptnewsfl.bsky.social
Polk County has just approved a $7.9 million piggyback agreement with LucyRx Health Solutions, unlocking potential annual savings of $379,000 for its healthcare plan members!

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#PolkCounty #FL #CitizenPortal #CostSavings #HealthcareManagement #PharmacyBenefits
County approves piggybacked pharmacy benefit agreement estimated at $7.9 million annually
Polk County authorized a piggyback contract with LucyRx Health Solutions to provide pharmacy benefit management for Polk Healthcare Plan members, citing projected annual savings from Pinellas County’s larger contract terms.
citizenportal.ai
October 8, 2025 at 2:01 AM
citizenptnewsfl.bsky.social
Highlands County School Board workshops reveal a potential $600K savings by reevaluating pharmacy benefits—could a new provider be the key to smarter spending?

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#FL #CitizenPortal #BudgetEfficiency #HealthcareCosts #PharmacyBenefits
Pharmacy Contract Review Reveals $600K Savings Opportunity with Hopkin Health Trust
Review shows potential $600K savings by switching to Hopkin Health Trust by January.
citizenportal.ai
August 23, 2025 at 6:40 PM
benefitmims.bsky.social
The survey identified the top five #strategies that respondents (including #employers) are using to mitigate #pharmaceutical expenses without compromising the quality of care. #RxCosts #EmployeeBenefits #PharmacyBenefits
New report warns of double-digit hikes in pharmacy costs
A primary contributor is the lack of competition in the pharmaceutical market, especially for brand-name drugs protected by patents.
buff.ly
September 11, 2025 at 8:30 PM
citizenptnewsct.bsky.social
Connecticut's new law holds pharmacy benefits managers accountable for acting in good faith, reshaping the landscape of healthcare transparency!

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#CT #CitizenPortal #GoodFaithDuties #HealthcareReform #PharmacyBenefits
Connecticut enacts good faith duties for pharmacy benefits managers under HB 7192
New law mandates pharmacy benefits managers to act with good faith towards health carriers
citizenportal.ai
June 26, 2025 at 11:27 AM
citizenptnewsoh.bsky.social
Ohio is shaking up the pharmacy industry by requiring benefit managers to certify their compliance with new regulations by March 1 each year!

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#OH #CitizenPortal #HealthcareRegulations #PharmacyBenefits #ComplianceAwareness
Ohio mandates pharmacy benefit managers to certify compliance with new regulations
Pharmacy benefit managers must certify compliance with state regulations by March 1 annually.
citizenportal.ai
May 21, 2025 at 11:16 PM
citizenptnewsok.bsky.social
Oklahoma's new Senate Bill 773 could revolutionize how pharmacy benefits managers operate, promising greater transparency and potentially lower drug costs for residents.

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#OK #ConsumerProtection #CitizenPortal #HealthcareTransparency #PharmacyBenefits
Oklahoma enforces transparency rules for pharmacy benefits managers contracts
New regulations mandate pharmacy benefits managers provide full disclosure to insurers and authorities
citizenportal.ai
February 21, 2025 at 12:04 PM
cvillegrrrl.bsky.social
and Del. Kilgore, R-Scott County, are members of the General Assembly). #medications #pharmacies #druginsurance #healthinsurance #PBMs #pharmacybenefits #healthcare #virginia #healthbenefits #capitalism #medicare #medicaid #ACA
February 18, 2025 at 3:56 PM
citizenptnewsnv.bsky.social
Senate Bill 389 is on the table, promising to revolutionize Nevada's Medicaid pharmacy benefits by consolidating to a single manager, potentially saving the state millions and improving access to medications.

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#NV #HealthcareTransparency #CitizenPortal #PharmacyBenefits
Senator Scheibel presents SB 389 to streamline Medicaid pharmacy benefits in Nevada
Senate Bill 389 aims to implement a single pharmacy benefit manager for Medicaid in Nevada.
citizenportal.ai
April 12, 2025 at 1:30 AM
citizenptnewsnv.bsky.social
Nevada is on the brink of a healthcare revolution as Senate Bill 389 aims to simplify Medicaid pharmacy management, promising major cost savings and enhanced transparency for patients.

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#NV #CitizenPortal #PharmacyBenefits #MedicaidReform #NevadaHealthcare #CostEfficiency
Senator Melanie Scheibel presents Senate Bill 389 to streamline Medicaid pharmacy management
Senate Bill 389 aims to consolidate Medicaid pharmacy benefits under one manager for cost savings.
citizenportal.ai
April 12, 2025 at 1:22 AM
citizenptnewsca.bsky.social
CalPERS retirees are sounding alarms over skyrocketing health-care premiums and troubling pharmacy issues, as the board prepares to address these urgent concerns in July.

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#CA #RetirementSupport #CitizenPortal #PharmacyBenefits
CalPERS board member fields retiree complaints over rising premiums and CVS pharmacy transition
Board member Yvonne Walker told a CalPERS stakeholder webinar the board will vote on preliminary premiums in July, as retirees pressed her on steep premium increases, denials of pharmacy prior authorizations after the Optum-to-CVS switch, and out-of-state coverage problems.
citizenportal.ai
May 28, 2026 at 8:28 PM
citizenptnewsca.bsky.social
CalPERS members are facing a wave of issues after the switch to SilverScript, with lost prescriptions and unresponsive customer service leaving many frustrated.

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#CA #MemberSupport #PharmacyBenefits #CitizenPortal
CalPERS members report widespread problems after switch to SilverScript; board rep. pledges follow‑up
Retirees told CalPERS at a Jan. 31 town hall that a January switch from Optum to SilverScript (CVS) left prescriptions missing, prior authorizations lost and customer service unresponsive. Yvonne Walker said CalPERS will route cases to its health team and that staff are working to resolve glitches.
citizenportal.ai
January 31, 2026 at 7:06 PM
citizenptnewsca.bsky.social
CalPERS members are facing big changes as CVS takes over pharmacy benefits in January, raising concerns about coverage gaps and rising premiums.

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#CA #CitizenPortal #RetireeSupport #PharmacyBenefits
CalPERS members warned about pharmacy switch, telehealth changes and higher premiums; retirees report coverage gaps
CalPERS told members the pharmacy benefits manager will move to CVS on Jan. 1 and that pandemic-era Medicare telehealth flexibilities ended Sept. 30, 2025. Retirees reported denied claims, formulary exclusions and steep out-of-pocket costs.
citizenportal.ai
November 14, 2025 at 9:40 PM
citizenptnewsca.bsky.social
CalPERS is making a pivotal shift to CVS Caremark as its new Pharmacy Benefits Manager, introducing key changes that could impact your medication access and authorization requirements.

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#CA #CitizenPortal #PharmacyBenefits
CalPERS Transitions to CVS as New Pharmacy Benefit Manager Amid Authorization Changes
CalPERS members will experience authorization changes as CVS takes over pharmacy benefits.
citizenportal.ai
September 27, 2025 at 1:39 AM
citizenptnewsca.bsky.social
CalPERS members will experience a seamless transition to CVS Caremark, ensuring that most prescriptions are automatically transferred—no action needed on your part!

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#CA #CitizenPortal #PharmacyBenefits
CVS Outlines Prescription Transfer Process from OptumRx for CalPERS Members
CVS will automatically transfer most prescriptions from OptumRx, ensuring continuity of care.
citizenportal.ai
September 27, 2025 at 1:38 AM
citizenptnewsca.bsky.social
CalPERS is making a major shift in pharmacy benefits by partnering with CVS Caremark, giving members access to over 64,000 pharmacies nationwide starting January 1, 2026!

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport
CalPERS Transitions Pharmacy Benefits to CVS Caremark for Members Starting January
CalPERS members will automatically transfer pharmacy benefits to CVS Caremark effective January 1.
citizenportal.ai
September 27, 2025 at 12:52 AM
citizenptnewsca.bsky.social
CalPERS is making a major shift to CVS Caremark in 2025, promising improved access to medications and the convenience of 90-day prescriptions!

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport
CVS Offers Prior Authorization Continuity and 90-Day Prescription Filling for CalPERS Members
CVS will honor prior authorizations and allow 90-day prescriptions at local pharmacies for members.
citizenportal.ai
September 27, 2025 at 12:20 AM
citizenptnewsca.bsky.social
CalPERS is shaking up pharmacy benefits by teaming up with CVS Caremark, promising a smoother experience for members starting January 2026—without a direct vote from those affected.

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#CA #CitizenPortal #PharmacyBenefits #MemberSupport
CVS Caremark to Manage Medicare Pharmacy Benefits Starting January 2026
CVS Caremark will provide pharmacy benefits for Medicare plans, ensuring smooth member transitions.
citizenportal.ai
September 27, 2025 at 12:16 AM
citizenptnewsca.bsky.social
CalPERS is taking bold steps to revamp healthcare access and ensure provider directories are up-to-date, promising a future of better care for its members.

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#CA #CitizenPortal #LegislativeReform #PharmacyBenefits
CalPERS outlines strategies for improved healthcare access and accurate provider directories
CalPERS plans to enhance healthcare access and accuracy of provider directories for members.
citizenportal.ai
June 24, 2025 at 11:50 AM
citizenptnewsaz.bsky.social
A recent audit reveals Scottsdale Unified School District is facing a $66,000 shortfall in pharmacy discounts, prompting urgent questions for the purchasing trust and a potential shift to direct contracting.

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#AZ #ArizonaSchools #CitizenPortal #AuditTransparency #PharmacyBenefits
PBM audit finds small rebate shortfalls; district to press Kyros on reconciliation
A Gallagher audit covering July 2023–June 2024 found $59,000–$66,000 in shortfalls tied to pharmacy benefit guarantees and could not independently verify manufacturer remittances; Scottsdale Unified staff said they will work with Kyros during a six‑month runout and pursue clarifications before and after transition to direct contracting.
citizenportal.ai
June 11, 2026 at 11:39 AM