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Regulatory updates with Optum Rx

Stay up-to-date on what’s happening in pharmacy legislation.

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Legislation impacting pharmacy benefits

Optum Rx closely monitors and acts to influence legislation that has the potential to adversely impact pharmacy benefits offered by both fully insured and self-insured clients.

The most recent updates are available, below. Check back on a quarterly basis for the latest legislative updates.

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Regulations to watch: Spring 2024

Optum Rx closely monitors and acts to influence legislation and rulemaking that has the potential to adversely impact pharmacy benefits offered by both fully insured and self-insured clients. Here is a quick summary of the latest pharmacy benefit legislative and regulatory issues happening this winter:

  • Federal PBM reform legislation unlikely in federal funding package
  • Centers for Medicare and Medicaid Services releases 2025 Advance Notice and guidance on Medicare prescription payment plan
  • 2024 State legislative sessions underway
  • New York proposes new PBM regulation
  • FDA approves Florida drug importation plan
  • Supreme Court to consider abortion drug cases
  • What Optum Rx is doing and how your voice can be heard

Get the details

Contact your Optum Rx representative to learn more or become involved in our advocacy efforts.

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Addressing pharmacy issues that matter to you

From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
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Regulatory update: Winter 2023

Get the latest on legislation impacting PBMs.
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Regulations to watch: Fall 2023

Learn what's at stake as the PBM legislation advances on Capitol Hill.