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Express Scripts to pay $3.2 mln to settle Massachusetts overcharge claims

Updated: Aug 7

  • Cigna unit accused of ignoring federal, state drug pricing benchmarks for workers' compensation beneficiaries

  • Massachusetts previously settled with UnitedHealth's OptumRx, pharmacies

Pharmacy benefit manager Express Scripts Inc has agreed to pay $3.2 million to settle claims that it overcharged Massachusetts' workers' compensation insurance system for prescription drugs, Massachusetts Attorney General Maura Healey announced Monday.


Under the agreement, Express Scripts, a subsidiary of Cigna Corp, also agreed to implement new protocols to ensure that it complies with the state's drug pricing regulations. It did not admit wrongdoing.


"Employers need a workers' compensation system that is functional, transparent, and affordable," Healey said in a statement. "Our office will take action to ensure pharmacy benefits managers follow procedures and do not drive-up costs in our workers' compensation system."


Under Massachusetts law, workers injured on the job are entitled to benefits including prescription drugs, whose prices are pegged to federal Medicare reimbursement rates and to a state-set benchmark...



1 comment

1 Comment


kathy rothrock
Nov 09, 2022

This is bullshit.

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