FTC Sues Prescription Drug Middlemen for Inflating Insulin Drug Price
The FTC has sued Caremark, Express Scripts, and Optum for anticompetitive practices inflating insulin prices, seeking to restore competition and potentially lower drug costs for consumers.
Read original articleThe Federal Trade Commission (FTC) has filed a lawsuit against the three largest pharmacy benefit managers (PBMs)—Caremark, Express Scripts, and Optum—accusing them of engaging in anticompetitive practices that have artificially inflated insulin prices. The FTC claims that these PBMs have created a rebate system that prioritizes high rebates from drug manufacturers, leading to increased list prices for insulin and limiting patient access to more affordable options. The complaint highlights that these PBMs control about 80% of U.S. prescriptions and have exploited their market power, resulting in significant financial burdens on patients who rely on insulin. The average list price of insulin has skyrocketed, with some products increasing over 1,200% since 1999. The FTC's action aims to address these exploitative practices and restore competition in the pharmaceutical market, which could potentially lower drug prices for consumers. The agency also indicated that drug manufacturers may also be held accountable for their role in driving up prices. The lawsuit reflects ongoing concerns about the impact of PBMs on drug pricing and patient access to essential medications.
- FTC sues major PBMs for inflating insulin prices through unfair rebate practices.
- The lawsuit targets Caremark, Express Scripts, and Optum, which control 80% of U.S. prescriptions.
- Insulin prices have increased dramatically, with some products rising over 1,200% since 1999.
- The FTC seeks to restore competition in the pharmaceutical market to lower drug prices.
- Drug manufacturers may also face scrutiny for their role in escalating insulin costs.
Related
The Opaque Industry Inflating Prices for Prescription Drugs
Pharmacy Benefit Managers (PBMs) like CVS Health, Cigna, and UnitedHealth Group are criticized for increasing prescription drug costs in the US. Despite claims of cost reduction, PBMs allegedly steer towards expensive drugs, charge high markups, and prioritize financial gains over patients. Lawmakers are scrutinizing their practices for potential price inflation and anticompetitive behavior.
Middlemen have outsized influence on drug prices due to market consolidation,FTC
The FTC highlights PBMs' dominance in U.S. drug pricing. Top PBMs control 79% of claims, raising concerns about cost inflation, lack of transparency, and conflicts of interest. Regulation and scrutiny are needed.
The Mafia of Pharma Pricing
The Federal Trade Commission report exposes health care conglomerates, particularly pharmacy benefit managers (PBMs), for inflating drug prices and manipulating the market. PBMs' practices contribute to rising healthcare costs and may lead to potential lawsuits.
Ozempic maker defends high U.S. price: It's 'helping' reduce the cost of obesity
Novo Nordisk's CEO defended high U.S. prices for Ozempic and Wegovy, citing obesity cost savings, ahead of a Senate hearing where pricing disparities and affordability concerns will be addressed.
FTC Accuses Drug Middlemen of Inflating Insulin Prices
The FTC is suing CVS Health’s Caremark, Cigna’s Express Scripts, and UnitedHealth’s Optum Rx for inflating insulin prices and harming consumers, amid increasing scrutiny of pharmacy benefit managers.
Related
The Opaque Industry Inflating Prices for Prescription Drugs
Pharmacy Benefit Managers (PBMs) like CVS Health, Cigna, and UnitedHealth Group are criticized for increasing prescription drug costs in the US. Despite claims of cost reduction, PBMs allegedly steer towards expensive drugs, charge high markups, and prioritize financial gains over patients. Lawmakers are scrutinizing their practices for potential price inflation and anticompetitive behavior.
Middlemen have outsized influence on drug prices due to market consolidation,FTC
The FTC highlights PBMs' dominance in U.S. drug pricing. Top PBMs control 79% of claims, raising concerns about cost inflation, lack of transparency, and conflicts of interest. Regulation and scrutiny are needed.
The Mafia of Pharma Pricing
The Federal Trade Commission report exposes health care conglomerates, particularly pharmacy benefit managers (PBMs), for inflating drug prices and manipulating the market. PBMs' practices contribute to rising healthcare costs and may lead to potential lawsuits.
Ozempic maker defends high U.S. price: It's 'helping' reduce the cost of obesity
Novo Nordisk's CEO defended high U.S. prices for Ozempic and Wegovy, citing obesity cost savings, ahead of a Senate hearing where pricing disparities and affordability concerns will be addressed.
FTC Accuses Drug Middlemen of Inflating Insulin Prices
The FTC is suing CVS Health’s Caremark, Cigna’s Express Scripts, and UnitedHealth’s Optum Rx for inflating insulin prices and harming consumers, amid increasing scrutiny of pharmacy benefit managers.