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Express Scripts settles FTC insulin pricing lawsuit with 10-year reforms to lower costs and end unfair practices.
Express Scripts, Cigna’s pharmacy benefit manager, has settled an FTC lawsuit over insulin pricing, agreeing to a 10-year deal that ends spread pricing, mandates transparency, and requires moving its Swiss-based GPO to the U.S.
The settlement, which avoids a major antitrust trial, mandates cost-plus reimbursement for small pharmacies, includes a three-year compliance monitorship, and allows TrumpRX purchases to count toward copays.
It aims to lower drug costs by up to $7 billion over a decade and addresses concerns over inflated prices and unfair steering practices.
The FTC calls it a major regulatory shift, while industry watchdogs welcome reforms but urge further scrutiny of specialty drug classification and partnerships.
Express Scripts resuelve la demanda sobre los precios de la insulina de la FTC con reformas de 10 años para reducir los costos y poner fin a las prácticas injustas.