Oklahoma AG turns screws on CVS for below-cost reimbursement

NCPA January 27, 2025

Oklahoma Attorney General Gentner Drummond is suing CVS Caremark for repeated violations of state laws intended to protect pharmacies from below-cost reimbursement, taking the complaint to the Oklahoma Office of Administrative Hearings' new PBM Administrative Court. The suit identifies 200 claims from 15 pharmacies that were reimbursed below cost. Pharmacies pursued these claims through the appeals procedure outlined in state law but CVS violated multiple terms of the appeals process, including not providing NDCs of products available at the time that pharmacies could have purchased.

The Office of the Attorney General has been charged with PBM oversight and compliance since November 2023. Read more here.

NCPA