Feds Open Another PBM Probe

CMS is auditing vertically integrated Medicare Part D sponsors, including pharmacy benefit managers and payers, according to HHS’ Office of Inspector General. The agency said the probe is in response to “a wave of vertical integration between PBMs, health insurers, and pharmacies” over recent years. A common concern for vertically integrated models is inflated drug prices, the OIG said, so CMS is investigating a few unspecified insurers and PBMs on their prices for Part D medications.

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Source: https://www.beckershospitalreview.com/legal-regulatory-issues/feds-open-another-pbm-probe.html

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