FTC accuses Big 3 PBMs of raising drug prices, harming small pharmacies, and obstructing low-cost options, prompting a planned lawsuit.

The Federal Trade Commission (FTC) accuses Pharmacy Benefit Managers (PBMs) in the US of driving up drug prices, harming small pharmacies, and undermining low-cost options like generics and biosimilars. The FTC identified the "Big 3" PBMs - CVS Caremark, Optum Rx, and Express Scripts - as having particularly harmful practices. Critics claim the FTC's report lacks evidence of patient harm, but the FTC states this is due to the PBMs' reluctance to provide necessary documentation. Subsequently, the FTC revealed plans to file a lawsuit against the Big 3 PBMs over their use of rebates for insulin and other drugs.

August 15, 2024
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