News
from the fight to #SaveIndiePharmacy
New York Times’ The Middlemen series
FTC case against Caremark, Express Scripts, Optum Rx can move forward, judge rules
A Missouri district court judge on Tuesday said stopping the FTC’s suit against the Big Three PBMs would be “against the public’s interest.”
22 states sue to block Trump administration cuts to NIH research payments
Attorneys general seek court order to halt 15% cap on research overhead costs
Cigna sues, wants leeway to tell customers which pharmacies to use
In 2019, Minnesota passed the Minnesota Pharmacy Benefit Manager Licensure and Regulation Act. It prevents Pharmacy Benefit Managers or PBMs from requiring customers on an insurance plan to go to a pharmacy that the PBM owns, often by mail order.
Eagan’s Prime Therapeutics hit with $10.3M judgment in price-fixing case
Safety net provider alleged pharmacy benefit manager collaborated with a rival to set low payment rates to pharmacies.
PBM Prime Therapeutics to Pay $10 Million Antitrust Case Over Price-Fixing Scheme with Express Scripts, Inc.
In a recent antitrust arbitration ruling, Prime Therapeutics, a pharmacy benefit manager (PBM) owned by 19 Blue Cross and Blue Shield Plans, was found guilty of engaging in horizontal price-fixing in collaboration with Express Scripts, Inc. (ESI), a competitor owned by Cigna.
NCPA Joins Class Action Suit Against GoodRx; CVS Caremark Corp.; Express Scripts, Inc.; MedImpact Healthcare Systems, Inc.; and Navitus Health Solutions, LLC
Says the discount card company is colluding with the named PBMs to fix reimbursements
Oklahoma takes CVS Caremark to new PBM court over alleged underpayments
Oklahoma's attorney general has accused CVS's Caremark pharmacy benefit manager unit of under-reimbursing pharmacies for prescription drugs
NEWS RELEASE: OptumRx and Walgreens Sued Over the Death of Twenty-Two-Year-Old Who Couldn’t Afford His Asthma Medication
The lawsuit alleges that on January 10, 2024, Cole tried to fill his prescription for Advair Diskus, an asthma inhaler he had taken for many years, but was told that it would cost him $539 out-of-pocket because it was no longer covered by his insurance.
UnitedHealth Group ordered to pay $165 million over deceptive sales practices
UnitedHealth Group will appeal an order to pay $165 million in penalties and restitution after a judge found a business acquired by the Eden Prairie-based insurer more than five years ago used deceptive practices to sell benefits that supplement traditional health insurance in Massachusetts.
Healthcare insurance companies blamed for 'pharmacy deserts' in Minnesota
Pharmacy benefit managers are being blamed for "pharmacy deserts" being left across Minnesota as inflating drug costs squeeze out small-town pharmacies. This local news story features our friend and fellow pharmacy advocate, Deborah Keaveny, RPh of Keaveny Drug (Winsted, MN)!
‘Ghost network’ of US healthcare providers amounts to fraud, lawsuit says
Class action finds ‘staggering’ cases of people struggling to find mental health care coinciding with mental health crisis
Drugmakers including Purdue Pharma paid pharmacy benefit managers not to restrict painkiller prescriptions, a New York Times investigation found.