Rx pill bottles "Consolidated firms — the PBMs, the distributors, and the drug stores – team up with payors," Scott Gottlieb said in prepared remarks at a major conference of health insurers in Washington. (Photo: Shutterstock)

A "rigged payment scheme" between drug plans, insurers and pharmaceutical companies has blocked access to less-expensive versions of some of the most costly drugs in the U.S., the head of the Food and Drug Administration said Wednesday.

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