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Billing News · Tuesday, September 1, 2026

Florida attorney general sues PBMs Express Scripts and Prime over alleged price fixing

Healthcare Dive · 2026-08-31
CignaPrime Therapeutics

Florida Attorney General Ashley Moody filed a state antitrust lawsuit against pharmacy benefit managers Express Scripts and Prime Therapeutics, alleging they conspired to fix prices and allocate markets for PBM services. The suit claims the companies’ coordination suppressed competition and inflated costs for Florida’s Medicaid managed‑care program and commercial plans. The action follows similar state‑level probes into PBM consolidation and adds momentum to federal efforts to regulate PBM spread‑pricing and rebate practices. Monitor the docket for interim rulings that could reshape PBM‑provider contracting in 2027.

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