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

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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