CVS Benefits Arm Slapped With $95M In Medicare Overbilling Judgment — Penalty Could Triple By Stocktwits

Pharmacy Benefits Manager Caremark Found Liable for Overbilling Medicare for Drugs

PHILADELPHIA, June 27, 2025 /PRNewswire/ -- Berger Montague PC and Miller Shah LLP, on behalf of their whistleblower client, are pleased to announce that on June 25, 2025, a Pennsylvania federal judge found pharmacy benefits manager Caremark and related entities…

Congress should reconsider breaking up pharmacy benefit managers, experts say

Many popular proposals to reform the PBM industry are missing the forest for the trees, drug market experts said this week in Washington, D.C. Instead, Congress should go after the root issue: the oligopoly enjoyed by the Big Three PBMs.

CVS Benefits Arm Slapped With $95M In Medicare Overbilling Judgment — Penalty Could Triple By Stocktwits

Drug Pricing Forum Continues Push for PBM Reform

Following a drug pricing transparency forum in Washington, D.C. this week, policy experts are urging Congress to go beyond mere rebate transparency and consider breaking up pharmacy benefit managers (PBMs), which currently handle approximately 80% of U.S. prescription claims, often through vertically integrated chains like CVS, UnitedHealth, and Cigna. While recent proposals focus on revealing rebates and mandating pass-throughs, critics argue t…