Dana Kelso Spradling says she's dealing with an insurance nightmare, after the medication she had already received a prior authorization for is now being denied.

A Chicago plumbers’ union is accusing Express Scripts Inc. of giving certain drugmakers preferential patient access in ...

New Medicaid prior-authorization rules have advocates in Connecticut concerned about patients losing access to their prescription drugs.

The FTC first sued Express Scripts, CVS Caremark, and Optum in 2024, claiming anticompetitive and unfair rebating practices surrounding insulin. “Caremark, [Express Scripts], and Optum—as medication ...

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve ...

The Federal Trade Commission said it has reached a settlement with Express Scripts, resolving an earlier lawsuit that alleged the pharmacy benefit manager artificially inflated insulin drug prices.

Fighting rare bile duct cancer, Keaton Herzer used social media to overturn repeated insurance denials for lifesaving treatment and a liver transplant.

Earlier this week, the Federal Trade Commission paused its administrative case against major pharmacy benefit managers, including Cigna’s Express Scripts and Evernorth Health, staying proceedings and ...

Some medical procedures and treatments require prior authorization from your health insurance company, meaning you'll need pre-approval before you can receive care. This episode, health care reporter ...

The Federal Trade Commission has agreed to what it called a “landmark” settlement with Express Scripts, allowing the company to bow out of the agency’s lawsuit against major pharmacy benefit managers ...

The Federal Trade Commission and Cigna's Evernorth unit have officially reached a settlement that resolves allegations that the company's pharmacy benefit manager artificially drove up prices for ...

Washington — A year after a federal law that effectively mandated a nationwide ban on TikTok went into effect, the platform announced the formation of a new U.S.-based entity to comply with the ...