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ARTICLE · 03 OCTOBER 2024

FTC Escalates Battle Against PBMs With Complaint On Insulin Pricing

The FTC filed an administrative complaint on September 20, 2024, accusing the three largest pharmacy benefit managers (PBMs) – Caremark Rx, Express Scripts...

United StatesAntitrust/Competition Law

FTC's challenge is the culmination of years of investigation, but choice of venue and theories of harm reveal potential weaknesses.

Key Takeaways

  • The FTC filed an administrative complaint against the "Big Three" pharmacy benefit managers (PBMs) and their affiliated group purchasing organizations (GPOs) after a years-long investigation.
  • Although the complaint is primarily focused on insulin pricing, the FTC's requested relief would apply to PBMs' practices across the board, not just with respect to a single drug.
  • The FTC's Deputy Director for the Bureau of Competition also publicly warned drug manufacturers that they too could be subject to enforcement actions related to drug pricing.

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