They'd been out of the fight over the widespread use and abuse of opioids, but that could be about to change. Pharmacy benefit managers are being targeted by a lawsuit filed by Webb County, in South Texas, charging that PBMs enabled the opioid crisis and profited from the sale of the drugs that fueled it, according to a lawyer who represents the county.

Stat News reports that not only does this suit, filed in January, target PBMs, but in being rolled over into a larger that aggregates claims from cities and states across the country, it could also open up PBMs across the country to potential settlements as well as court orders meant to change the way the drug industry operates.

PBMs, the financial middlemen that determine which drugs are available and how much they'll cost patients out of pocket, provide little transparency on how they make those determinations. The Webb County lawsuit is thought by its attorneys to be the first in the country to name PBMs as defendants in a municipal opioid lawsuit. 

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