FTC Sues Three Biggest Pharmacy Benefit Managers Over Inflated Insulin Costs

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FTC Sues Three Biggest Pharmacy Benefit Managers Over Inflated Insulin Costs
Pharmacy Benefit ManagersInsulin PricesFTC Lawsuit
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The Federal Trade Commission (FTC) has filed a lawsuit against the nation's three largest pharmacy benefit managers (PBMs) — Optum Rx, CVS Health's Caremark, and Express Scripts — alleging that their unfair practices contribute to inflated insulin prices. The FTC claims PBMs manipulate the pharmaceutical supply chain to increase drug costs, despite offering rebates that ostensibly lower patient copays.

The Federal Trade Commission Friday announced it was suing the country's three biggest pharmacy benefit managers , claiming unfair practices inflated the cost of insulin.Pharmacy benefit managers, or PBMs, negotiate rebates on drugs for insurance companies, unions and government agencies. Those rebates help lower copay costs for patients, but critics say they also force manufacturers to increase the list price of a drug, ultimately raising the price for patients at the counter.

RELATED STORY | Walgreens settles allegations it submitted false payment claims for prescriptionsScripps News reached out to the PBMs listed in the lawsuit for a response. All three suggested the FTCs complaint presented a flawed view of the drug pricing process, and placed blame for the high costs of insulin elsewhere.

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