Opioid Rx The PMB lawsuit has flown under the radar, largely because it is seen as an industry dispute, rather than something that directly affects consumers. (Photo: Shutterstock)

On Tuesday, the US Supreme Court heard arguments in a case that could affect pharmacy benefits for employers in the US. The case, Rutledge v Pharmaceutical Care Management Association (PCMA), concerns an Arkansas state law that regulates pharmacy benefits managers (PBMs), ostensibly to protect pharmacies from low reimbursements that they say threaten their ability to stay in business.

Arkansas passed a law, known as Act 900, that aimed to protect pharmacies from unreasonably low reimbursements from PBMs. Pharmacies have argued that in some cases, drug reimbursement rates set by PBMs are lower than the wholesale price they pay, forcing them to take financial losses.

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