OptumRx, a major pharmacy benefit manager, filed a lawsuit against the Mississippi Board of Pharmacy alleging a violation of due process. The lawsuit stems from an audit that suggests OptumRx may have paid independent pharmacies lower rates than chains and Optum-affiliated pharmacies for the same prescription drugs in 2022, potentially violating Mississippi law. OptumRx seeks an independent hearing officer to preside over the administrative hearing on the audit's findings.
OptumRx sues Mississippi Board of Pharmacy, alleges due process violation by Gwen Dilworth, Mississippi Today January 7, 2025 A lawsuit filed by a major pharmacy benefit manager in December alleges the Mississippi Board of Pharmacy violated the company’s right to due process by releasing the findings of an audit before determining any wrongdoing.
“It is wholly inappropriate to assume parity of service offerings between different types of pharmacies, such as OptumRx’s affiliated pharmacy and retail pharmacy,” wrote the lawsuit. The audit’s analysis of a generic drug used to treat bacterial infections alleged that an Optum-affiliated pharmacy was paid eight times more than the lowest-paid independent pharmacy on the same day.
Lawsuit Pharmacy Benefit Manager Due Process Mississippi Board Of Pharmacy Audit
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