DeWine tells Ohio’s pharmacy middlemen he’s ready to sue them
“Today, I am putting (pharmacy benefit managers, known as) PBMs on notice that their conduct is being heavily scrutinized, and any action that can be taken and proven in court will be filed to protect
“Just as
DeWine said his office began the process of hiring outside counsel to assist in potential civil litigation and expects to soon announce its selection.
The attorney general also is defending the
“Since the end of 2017, my office has been reviewing and investigating issues regarding PBMs and their contracts with
“It is clear that the conduct by PBMs in these areas remains a major concern, and we anticipate that our investigation will result in major litigation against PBMs.”
DeWine’s opponent in the 2018 governor’s race, Democrat
“We have seen this movie before.
“Now that he’s a few months from the governor’s election, at a time when he knows darn well he can’t complete any work on these lawsuits, he’s grandstanding for political purposes when he should have been working to solve the problem years ago,” Cordray said.
The Democrat said as governor he would recraft pharmacy benefit manager contracts to control costs, impose transparency and better protect taxpayers and Medicaid patients.
“We need to rein in PBMs and make sure the grotesque disparities in reimbursements are reviewed and reformed,” he said.
According to the Medicaid consultant report’s executive summary, pharmacy benefit managers, or PBMs, billed taxpayers
That 8.8 percent difference, known as the price spread, represents millions kept by CVS Caremark, PBM for four of Medicaid’s five managed care plans, and Optum Rx, the PBM for the other. Largely pass-through operations, PBMs are employed to negotiate drug prices with manufacturers and process drug claims.
The study said PBM fees should be in the range of
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