News

PUTT Blog | Seventh Circuit Court of Appeals Says Arkansas’ Rule 128 Stands

The Seventh Circuit Court of Appeals upheld Arkansas’ Rule 128, reinforcing the state’s authority to regulate pharmacy reimbursement rates and require PBMs to report pricing data, potentially influencing PBM oversight nationwide.

Florida attorney general sues PBMs Express Scripts, Prime over alleged price fixing

Arkansas Pharmacies Sue Express Scripts Over Alleged Underpayments

Twelve independent pharmacies in Arkansas have filed a first-of-its-kind lawsuit against Express Scripts, alleging the PBM violated state law by reimbursing pharmacies below the cost of acquiring prescription drugs.

Comer Investigates PBMs for Retaliatory Audits of Independent Pharmacies

Chairman James Comer is investigating whether major PBMs targeted independent pharmacies with retaliatory audits after they publicly supported bipartisan legislation aimed at reforming PBM practices.

PBM Reform

Pharmacist backs Hawley’s PBM crackdown, says big insurers and their pharmacy benefit managers, not Big Pharma, are driving costs up and squeezing independent pharmacies.

PBM Audits

Audit of the Blue Cross Blue Shield Association's Service Plan's Retail and Mail Order Pharmacy Programs as Administered by CVS Caremark for Contract Years 2018-2021
Three findings from the report require corrective action: 1) A $478 million overcharge to the carrier and the FEHBP from not passing through negotiated discounts with two of the largest retail pharmacy chains, 2) Failing to return $108 million in credits for transmission fees collected from retail pharmacies to process the carrier's prescription drug benefits, and 3) An overcharge to the carrier of $27 million by paying the PBM an incentive above the retail claims pricing guarantee between the carrier and the PBM.