The FTC filed a lawsuit against CVS Caremark, Cigna's Express Scripts, and UnitedHealth's OptumRx for for their allegedly anticompetitive practices that "artificially inflated" the price of insulin and, consequently, impeded patient access to the life-saving treatment.
The complaint accused the pharmacy benefit managers of creating a "perverse" system of rebates that favored insulin sold at higher list prices in order to "line their pockets." Overall, pharmacy benefit managers collected billions in rebates and associated fees and, by 2019, one of every four patients was unable to afford insulin.
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