FTC halts case against PBMs, citing lack of commissioners
The Federal Trade Commission (FTC) has halted its lawsuit against the three largest pharmacy benefit managers (PBMs), citing a lack of commissioners willing to take up the case.
The regulatory agency was suing CVS Caremark, Optum Rx and Express Scripts—along with their associated group purchasing organizations—over the price of insulin, alleging the companies were engaged in collusive practices to jack the price for Americans.
Despite winning a court battle that allowed the FTC’s case to move forward, the agency has now opted to press pause for 105 days, with an evidentiary hearing now scheduled for 225 days after the stay is lifted.
The announcement comes after President Donald Trump fired high-level officials at the agency seen as Democrat opposition, namely Alvaro Bedoya and Rebecca Kelly Slaughter. They were fired in March and are currently suing to have their positions reinstated. The FTC has seen a major shakeup, with former head Lina Khan resigning when Trump took office on Jan. 20. She helped to craft the case against the drug distributors back in September.
Republican commissioners have recused themselves, opting not to participate in the lawsuit.
PBM reform has bipartisan support
Despite the seemingly partisan nature of the shifts, resistance of PBMs has garnered wide support, with Texas Attorney General Ken Paxton, a Republican, filing his own lawsuit that largely mirrored claims made by the FTC.
Paxton’s lawsuit also implicated drug manufacturers for their role in distributing “rebates” that allegedly artificially propped up the price of insulin. That case is still pending.