FTC's Action Against Pharmacy Benefit Managers: Addressing Inflated Insulin Prices

Friday, 20 September 2024, 21:44

FTC is taking action against pharmacy benefit managers over inflated insulin costs. This suit highlights how PBMs drive up prices for patients, impacting affordability.
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FTC's Action Against Pharmacy Benefit Managers: Addressing Inflated Insulin Prices

Background on Insulin Pricing

The FTC's lawsuit focuses on the practices of major pharmacy benefit managers (PBMs) and their role in insulin pricing. Pharmacy benefit managers negotiate drug prices and rebates but face criticism for increasing drug costs for consumers.

Details of the FTC's Lawsuit

On Friday, the FTC announced legal action against the three largest PBMs in the U.S.: Optum Rx, CVS Health's Caremark, and Express Scripts. This lawsuit claims these companies engage in practices that inflate the cost of insulin, thus questioning their ethics and impact on patients. Negotiating rebates may initially reduce costs, but the *overall impact* leads to higher **list prices**, leaving patients to shoulder the burden at the pharmacy counter.

Impact on Patients and the Pharmaceutical Landscape

The consequences of PBM practices extend far beyond pricing; they affect patient care and the healthcare industry as a whole. The FTC seeks to address these concerns and encourage transparency in pharmaceutical pricing.


This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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