Six states forced insurers to start counting drug-copay assistance toward patient deductibles in 2025. The same insurers are running the same playbook in four new states in 2026. The names on the violator list don’t change. The states do.
Read the issue →Reading the Express Scripts decree, the agency didn’t blow up the pharmacy-benefit-manager business model. It made the existing model the opt-out option.
One issue per week. PBM economics, FTC actions, formulary politics, and the deals shaping how Americans pay for prescriptions. Written by one person who reads the primary documents so you don’t have to.
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The Olsen Tribune is a one-person newsletter on pharmacy benefit managers and the wider business of prescription drugs in the United States. Each issue takes one story breaking in the PBM space, reads the primary documents, and sets out plainly what changes and what doesn’t. More about the Tribune →