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Legal·July 8, 2026
Four Major Pharmacy Litigation Tracks Progress: PBM Ownership, 340B, Antitrust, Fraud
Pharmacy litigation is proceeding on four major fronts. State laws banning PBM ownership of pharmacies face constitutional challenges. Drugmakers are challenging state 340B protections in multiple jurisdictions. PBMs face antitrust claims over reimbursement practices. Federal fraud enforcement actions target rebate and claims manipulation by PBMs. These cases are ongoing with varying timelines across federal and state courts.
Why it matters for managed care
Medicaid MCOs that contract with PBMs or operate pharmacy benefits must monitor these cases for impacts to network structure, 340B pricing access, reimbursement methodologies, and fraud and abuse compliance obligations.
Pharmacy · Managed Care
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