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Is Optum Rx Payment Remodel To Favor Generics A Peace Offering For US FTC?

 
• By Urtė Fultinavičiūtė

Optum Rx, one of the largest PBMs in the US, declared it was the “first comprehensive, transparent pharmacy services company” after announcing several consumer-friendly changes.

white flag
Could the new payment model impact the FTC's PBM litigation? (Shutterstock)
Key Takeaways
  • Optum Rx announced a modernized pharmacy payment model that will align payment models more closely to pharmacy costs.
  • The company also plans to remove retroactive recoupment, also known as claw-backs to help improve operational efficiency.
  • The moves may be intended to help resolve ongoing litigation the FTC filed against Optum and other large US PBMs.

One of the big three pharmacy benefit managers in the US, Optum Rx, has “modernized” pharmacy payment models to combat “rising prices set by pharmaceutical companies” and potentially help resolve...

The PBM said it will “align payment models more closely to the costs pharmacies may face due to manufacturer pricing actions.” The move will impact non-affiliated network pharmacies, including 24,000...

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