House lawmaker investigates pharmacy benefit managers over alleged retaliatory audits
Representative James Comer sent letters to CVS Caremark, OptumRx, and Express Scripts last week regarding independent pharmacy audits linked to a specific bill.
Letters challenge audit surge claims
James Comer heads the House Committee on Oversight and Government Reform. He sent letters to the three largest pharmacy benefit managers late last week. The lawmaker claims independent pharmacies faced an unusual surge in burdensome audits after supporting his legislation.
Bill targets payment adjustments
The proposed law is called the Pharmacists Fight Back Act. It requires participating companies to fairly reimburse pharmacies for actual medicine costs. The bill also mandates paying a reasonable fee for dispensing drugs within the Federal Employees Health Benefits Program.
Targeted firms receive inquiry
The investigation specifically targets CVS Caremark, OptumRx, and Express Scripts. Comer asserts these companies targeted independent pharmacies with audits in retaliation. The letters question whether the audits were a response to supporting the bipartisan bill.
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