Florida AG Sues Express Scripts and Prime Therapeutics for Alleged Price Fixing

Florida's attorney general filed a lawsuit against pharmacy benefit managers Express Scripts and Prime Therapeutics alleging their partnership agreement artificially depressed pharmacy reimbursement rates through price fixing. The complaint represents the latest legal challenge to the Express Scripts-Prime arrangement. The lawsuit alleges anticompetitive conduct that affects how pharmacies are paid under prescription drug benefit arrangements. This matters for Medicaid managed care organizations that contract with these PBMs or their affiliates for pharmacy services, as the allegations relate to fundamental pricing mechanisms that affect both network pharmacy relationships and overall drug cost structures.

Pharmacy · Managed Care