Just a few days ago I made this post https://www.pharmaciststeve.com/cvs-health-is-standing-up-to-protect-their-own-profits-using-a-smoke-screen-and-accusing-others-of-profiteering/
Where the PBM CAREMARK – owned by CVS HEALTH – “By inserting themselves in the state’s process of selecting a firm to manage prescription drug coverage for the Office of Group Benefits, special interest groups representing Louisiana’s independent pharmacists attempted to line their own pockets at the expense of the state’s taxpayers, employees and retirees.
According to the chart below, the top FOUR PBM’s control 90% of the prescription market place and noticed that the top FOUR PBM’s are owned by INSURANCE COMPANIES. Also this recent blog post where the DOD awarded Express Scripts the Tricare prescription contract and because of the EXTREMELY LOW REIMBURSEMENT RATES… most independent pharmacies are unable to sign the contract. TRICARE changes force 15,000 pharmacies out of network
and in my inbox today this showed up:
Express Scripts to shell out $3.2M in prescription drug pricing case
Express Scripts agreed to settle for $3.2 million in a Massachusetts case that accused the pharmacy benefit manager of overcharging for some injured workers’ prescriptions.
Attorney General Maura Healey said Express Scripts allegedly “billed and obtained payment for prescription drugs from payers of workers’ compensation claims in excess of amounts” permitted by state law at CVS, Walgreens and Rite Aid locations, according to a court document filed Nov. 7.
Information found during litigation and the attorney general’s investigation is “confidential commercial and trade secret information” and thus protected, according to the document.
As part of the settlement, Express Scripts said it will work to prevent overcharges in its workers’ compensation insurance business. Express Scripts did not immediately respond to Becker’s requests for comment.
“Employers need a workers’ compensation system that is functional, transparent and affordable,” Ms. Healey said. “Our office will take action to ensure pharmacy benefits managers follow procedures and do not drive up costs in our workers’ compensation system.”
https://www.drugchannels.net/2022/04/the-top-pharmacy-benefit-managers-of.html
Filed under: General Problems
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