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Second US FTC staff report says Big 3 PBMs significantly marked up HIV, cancer drugs

( January 14, 2025, 16:06 GMT | Official Statement) -- MLex Summary: The Federal Trade Commission published a second interim staff report on the prescription drug middleman industry, which focuses on pharmacy benefit managers’ influence over specialty generic drugs and significant price markups by PBMs for cancer, HIV, and a variety of other critical drugs. The report found that the ‘Big 3 PBMs’—Caremark Rx, LLC (CVS), Express Scripts, Inc. (ESI), and OptumRx, Inc. (OptumRx)—marked up numerous specialty generic drugs dispensed at their affiliated pharmacies by thousands of percent, and many others by hundreds of percent. This allowed the Big 3 PBMs and their affiliated specialty pharmacies to generate more than $7.3 billion in revenue from dispensing drugs in excess of the drugs’ estimated acquisition costs from between 2017 and 2022. FTC commissioners voted 5-0 to issue the second interim staff report. Statement follows below. See attached file....

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