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You go to the pharmacy expecting your medication to cost about the same as last month, maybe a small change. But this time, it’s triple the price. You haven’t changed anything. You’re on the same dose, the same refill schedule. So why is it suddenly unaffordable? Behind that sticker shock is a system that most people never see, but that affects nearly every prescription you fill: pharmacy benefit managers, or PBMs. They’re the middlemen in the prescription drug world. And the

You wouldn’t skip an oil change and expect your car to run smoothly forever. So why treat your body any differently? Most people think of vaccines as something kids get. Or maybe something you rush to do during flu season because the news says so. But vaccines are one of the simplest, most effective ways to protect your long-term health, and they don’t stop mattering after childhood. In fact, for many adults, staying up to date on vaccines is the difference between a mild ill

Prescription drug pricing has been a broken puzzle for decades. Most people just see the final number on the pharmacy receipt, but behind...

What would happen if your local pharmacy submitted one wrong claim? What if they accidentally billed a prescription without the right paperwork? They would be flagged, fined, maybe even shut down. Now imagine this. CVS Health’s Omnicare unit submitted more than 3.3 million false claims to Medicare, Medicaid, and TRICARE. Not just one, not ten, but millions. Over the course of nearly ten years. And the price they paid? A $948.8 million penalty. Then they got to keep doing busi

You’ve probably heard the phrase “use it or lose it.” When it comes to your Over-the-Counter (OTC) card, that couldn’t be more true. Every month or quarter, Medicare Advantage plans deposit real dollars into your OTC balance. That money is there to help you stay healthy, but if you don’t spend it in time, it disappears. And not just disappear like “oh well, next time.” We’re talking money that could have covered your vitamins, your pain relief gel, your allergy meds, your col