In court, drug middlemen fight to limit pharmacies insured patients can use
In the first test of a 2020 U.S. Supreme Court ruling, drug middlemen last week argued that federal law gives them a crucial right to limit what pharmacies patients with health insurance can use — or at least make it more expensive if patients get their medicine at a shop that isn’t preferred by the […]
Already concerned with drug costs, large employers, family pharmacists worry about more middlemen
There already were deep concerns among small pharmacists about drug middlemen known as "pharmacy benefit managers." Now the corporations that own them appear to be creating yet another layer of middlemen. That has even the largest employers in the country worried.
Ohio AG signs on to important pharmacy middleman case
Ohio Attorney General Dave Yost has joined a lawsuit testing states’ power to regulate powerful middlemen who control the way prescription drugs are managed. Yost last week notified the 8th U.S. Court of Appeals in St. Louis that Ohio was joining 30 other states who are urging the court to uphold North Dakota laws meant […]
Court ruling could spotlight questionable practices by health care companies doing huge business with Ohio, other states
When you’re emailing about medical billing, it’s probably best not to write about using “dummy codes” to “bury” administrative fees. But two huge health care companies did just that between 2012 and 2016, and now it’s an issue that is poised to get new attention. Ohio is already suing one of the companies, claiming improper […]
Attempts to reform drug middlemen surge in nearly every state
Secretive companies that mediate between drug manufacturers, payers and pharmacies have been drawing heavy scrutiny for at least four years. Now efforts to change the way those companies do business have resulted in 100 bills introduced in 42 separate states, according to a report published Wednesday by the influential Kaiser Health News. Ohio has been […]
Ohio suits against drug middlemen headed for the long haul
Ohio has been one of the most active states litigating against drug middlemen, whom Attorney General Dave Yost accuses of bilking state agencies out of tens of millions of dollars. Other states also have been active in court against the healthcare giants. Notably, Arkansas last year squared off at the U.S. Supreme Court against the […]
Federal regulator’s oversight of the drug supply chain blasted — by one of the regulators
One of two federal agencies tasked with policing anticompetitive behavior among corporations last week said it has a lot more work to do when it comes to the prescription-drug supply chain. One of the members of the Federal Trade Commission went even further. He suggested the agency has abdicated its responsibility as drug prices have […]
Antitrust concerns are increasing on Capitol Hill. Advocates say they should extend to drug pricing
Antitrust concerns are increasing on Capitol Hill. Advocates say they should extend to drug pricing.