Ohio attorney general wants a PBM overhaul

The Ohio attorney general is recommending that the state makes major changes to how its pharmacy benefits are managed, according to the Dayton Daily News

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Ohio’s Attorney General Dave Yost outlined to lawmakers a four-step plan to overhaul the current management system.

Mr. Yost suggested that prescription purchases should go through a master pharmacy benefit manager contract that is administered through a single entity; a state auditor should be able to review all PBM contracts, purchases and payments; PBMs should be considered fiduciaries, entities that hold a legal and ethical relationship of trust with the parties involved; and nondisclosure agreements should be banned.

The move comes one month after Mr. Yost filed a lawsuit against OptumRx for allegedly overcharging the state of Ohio by $16 million. Court documents filed by Mr. Yost also reveal that the state is planning more legal action against PBMs.

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