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State Sues Pharmacy Benefit Management Company For Alleged Overcharges

Mar 19, 2019

David Yost in 2018, presenting his report on pharmacy benefits managers working with the state’s five Medicaid managed care plans to the Joint Medicaid Oversight Committee
Credit Ohio Public Radio
The state is suing a company that managed prescription benefits for the Ohio Bureau of Workers' Compensation, seeking to recover nearly 16 million dollars in alleged overcharges. 

OptumRx Administrative Services managed drug prescriptions for BWC clients but allegedly failed to provide contractually arranged discounts on generic drugs. The firm has yet to comment. Attorney General David Yost says the company's contract expired in October, and BWC now uses a different pharmacy benefit manager. Such companies, known as PBMs, have faced recent scrutiny in Ohio over their pricing practices, including for charging much more than the amount they reimbursed pharmacists for drugs provided to Medicaid recipients.