Dossier
prohibited pricing practice
Coverage of prohibited pricing practice in the Nexus archive.
- STAT+: State audit of Medicaid records points to methods used by PBMs to obscure drug costs
A state audit of Iowa’s Medicaid records found pharmacy benefit managers (PBMs) using complex methods to obscure drug costs, resulting in over $100 million in unreturned savings to managed care plans. The audit highlighted creative accounting maneuvers that evaded prohibitions on a now-outlawed pricing practice.