PBM and vendor compensation

Express Scripts sues the FTC for defamation

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Ferris Bueller said, “life moves pretty fast.”

Nine days ago: Express Scripts by Evernorth filed a suit against the Federal Trade Commission for defamation because the FTC said Express Scripts raises the price of drugs.

Seven days ago: the FTC filed suit against CVS Health, Express Scripts, and Optum for artificially inflating insulin prices.

Two days ago: the CEO of Novo Nordisk, Lars Fruergaard Jørgensen weighed in in a U.S. Senate Committee on Health, Education, Labor, & Pensions hearing, saying:

"The higher the list price, the more fees they (PBMs) get for the same job. That means that, in our experience, products that come with a low list price get less coverage."

This is a lot - A. LOT. - of activity for ten days. Is this the tipping point? Or will this period be “in like a lion, out like a lamb?”

Originally posted on LinkedIn, where the discussion and source links live in the comments.

About the author

Chris Vanderwolk is Director of Compliance and Innovation at OneDigital | Kistler Tiffany Benefits General Agency, where he helps brokers and employers navigate the regulatory complexity of employee benefits. An ERISA attorney with more than 19 years in the benefits industry, he specializes in translating what the law actually requires into language people can use.

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