FTC takes aim at PBM business practices in new inquiry

June 07, 2022


The Federal Trade Commission will intensify its scrutiny of pharmacy benefit manager business practices, the agency announced Tuesday.

The probe, which the commission unanimously approved, will focus on how vertical integration in the PBM sector affects access and pricing in the prescription drug market, according to a news release.

The FTC will require the six largest PBMs to provide information about their activities. The regulator plans to send compulsory orders to CVS Health’s CVS Caremark, Cigna’s Express Scripts, UnitedHealth Group’s OptumRx, Humana, Blue Cross and Blue Shield-affiliated Prime Therapeutics, and MedImpact Healthcare Systems. CVS Caremark, Express Scripts and OptumRx collectively control about 80% of the PBM market.

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