US Senators Seek 'Clarity’ On Middlemen Obstructing List Price Reductions

Letters to several pharmacy benefit managers and wholesalers request information on whether middlemen have discouraged decrease in list prices.

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Democratic Senators Elizabeth Warren, Mass., and Tina Smith, Minn., have written to nine pharmacy benefit managers and wholesalers to investigate whether they are discouraging biopharmaceutical manufacturers from list price reductions because it would result in lower fees and rebates for the middlemen.

The June 29 letters went to: the PBMs Express Scripts Holding Co., CVS Health Corp., OptumRx Inc., Medimpact Healthcare Prime Therapeutics and Humana Inc

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