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In a lawsuit filed in September 2024, the FTC alleged that CVS Caremark, along with Express Scripts and OptumRx, used rebate systems that favored higher-cost drugs, driving up list prices and out-of-pocket costs for patients.
UnitedHealth's Optum Rx has reached a tentative settlement with the FTC, joining CVS Health's Caremark and the Cigna Group's Express Scripts, which agreed to settlements earlier this year.
The state has filed a complaint in the U.S. District Court for the District of Rhode Island that accuses the PBMs of violating the federal Deceptive Trade Practices Act.
The proposed settlement would "resolve all of the claims against the Caremark respondents" and already has been approved by CVS, FTC attorneys and the FTC's competition and consumer protection bureaus."