Case will be the first to be heard in new administrative court
OKLAHOMA CITY (Jan. 23, 2025) – The Office of the Attorney General is suing CVS Caremark for multiple pharmacy benefit management (PBM) violations in the first case that will be heard in the agency’s newly established PBM Administrative Court.
In the complaint, Attorney General Gentner Drummond outlined 200 individual prescription claims that were reimbursed below acquisition cost to 15 Oklahoma pharmacies, which is in violation of state law.
“Collectively, these pharmacies lost thousands of dollars to fill these prescriptions and help patients get the medications they needed,” he said. “It is critical that we have a safe and fair marketplace for pharmaceuticals in Oklahoma. My office will be working diligently to hold pharmacy benefit managers accountable to the law.”
Broken Arrow Family Drug filled nearly half of the 200 prescriptions that were reimbursed under cost. United Discount Pharmacy, Thompson’s Pharmacy, Medic Pharmacy at Hefner Pointe and several other pharmacies account for the remaining prescriptions.
The pharmacies filed appeals after receiving their reimbursements, but CVS Caremark denied them, claiming incorrectly that a lower acquisition price was available.
Drummond said additional violations that have not yet been reported are possible. He encourages pharmacies and patients to report suspected PBM violations to the Office of the Attorney General.
Pharmacy Benefit Management compliance and enforcement in Oklahoma moved to the Attorney General office in November 2023.
Read the complaint.
