States Keep Legal Pressure on PBMs Ahead of Potential FTC Suit
State AGs are forging ahead with price-fixing lawsuits FTC appears poised to file its own lawsuit against PBMs Bloomberg Law States are...
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CVS Caremark agrees to $45M settlement with Illinois: report
Modern Healthcare CVS's in-house middleman for dispensing prescription drugs will pay at least $45 million in a settlement with the state...
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FTC plans to sue top 3 PBMs over insulin prices: WSJ
Yahoo Finance The Federal Trade Commission (FTC) is looking to take legal action against the three largest pharmacy benefit managers...
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Health-Care Collusion Task Force Sets Stage for DOJ Enforcement
Justice Department poised to bring civil, criminal cases Enforcers expected to focus on data-sharing, use of AI Bloomberg Law The Justice...
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States urge Supreme Court to review PBM case
Modern Healthcare A bipartisan group of state attorneys general is urging the U.S. Supreme Court to review a case they allege wrongfully...
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Tenth Circuit Decision on Regulating Pharmacy Benefit Managers Remains in Place As Oklahoma Appeals to U.S. Supreme Court
Duane Morris Law A decision from the United States Court of Appeals for the Tenth Circuit, which found that several provisions of an...
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California fines Anthem Blue Cross for slow provider payments
Becker's Payer Issues The California Department of Managed Health fined Anthem Blue Cross of California $690,000 for failure to reimburse...
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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees
Osterhaus Pharmacy in Iowa is also behind a similar suit against CVS Caremark. Healthcare Dive Dive Brief: UnitedHealth and its pharmacy...
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HHS 'copay accumulator' rule struck down: Insurers must now count copay assistance
In a big victory for patients who depend on prescription drugs, a federal judge struck down a 2021 HHS rule that allowed health insurers...
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Hawaii Targets PBMs With Suit Alleging Unfair Pricing System
COURT: Haw. Dist. Ct. DOCKET: No. 1CCV-23-0001281 Bloomberg Law Hawaii has joined the legal fray against the country’s top companies...
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CVS Caremark sued over back-end pharmacy fees
Axios Community pharmacies in a new lawsuit claim CVS Health and its Caremark pharmacy benefit manager violated antitrust laws and...
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Court strikes down Trump-era rule that allowed health insurers to broadly use copay accumulators
STAT+ A U.S. judge has struck down a Trump administration rule that allowed health insurers not to count copay assistance offered by drug...
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Independent pharmacies appeal mandatory arbitration ruling to IL Supreme Court
Cuker: OptumRx arbitration provision is 'basically rigged' Madison-St. Clair Record A group of independently-owned pharmacies are urging...
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PBMs sue U.S. to keep prescription drug prices hidden from public
Industry group says rule exceeds agencies' authority Lawsuit is latest of several to challenge drug pricing rules Reuters Reporter:...
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California court resurrects Aetna retaliation lawsuit
The California Medical Association's lawsuit alleges Aetna had fired or threatened to fire doctors who referred patients to...
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Cigna lawsuit over algorithm allegations could be first of many
Modern Healthcare Reporter: NONA TEPPER Two Cigna members filed a lawsuit seeking class-action status in a California federal court on...
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Court of Appeal affirms that Optum’s arbitration requirements are unenforceable
Rx Healthcare Law Author: Natalia Mazina The California Court of Appeal, First Appellate District has just affirmed the holding of a...
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LIPA Statement of Support for Attorney General Landry's Insulin Lawsuit
For Too Long, Insulin Manufacturers and Pharmacy Benefit Managers Have Derived Unjust Economic Benefit from Diabetes Patients and State...
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Watch: AG Jeff Landry announces diabetes treatment lawsuit
Louisiana KTAL News Louisiana Attorney General Jeff Landry announces a new lawsuit aimed at protecting diabetic residents from high costs...
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Cigna hit with ERISA class action lawsuit for allegedly overcharging members
The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna...
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