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In 2020, pharmacist Nate Hux launched the Freedom Pharmacy with an unusual model: It’s a pharmacy that takes no insurance, instead selling generic medications at wholesale prices, plus a small markup that goes to the pharmacy.

CVS, which owns one of the 3 largest PBMs, continues to expand its reach across the healthcare system as its health insurance subsidiary Aetna enters California’s ACA exchanges.

“With this law, the American people won and the special interests lost,” Biden told an audience of Democratic members of Congress and administration officials.

A proposal in the Democrats’ reconcilation bill could force some providers to close or limit medications.

A proposal could prohibit a PBM from "spread pricing" and "pharmacy clawbacks" unless it passes all rebates and concessions to health plans and discloses important pricing information.