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Billing News · Wednesday, May 27, 2026

CVS sues Tennessee, challenging new state PBM monopoly law

CVS Health is suing the state of Tennessee over its new pharmacy benefit manager law, which the company argues effectively creates a state-sponsored PBM monopoly. The lawsuit claims the law violates the federal Employee Retirement Income Security Act (ERISA) and the Commerce Clause. The outcome of this legal challenge will set a precedent for similar state-level PBM regulations, which directly impact pharmacy network contracts and prescription drug reimbursement for commercially insured patients. Watch for similar legal challenges in other states with restrictive PBM legislation.

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