Arkansas pharmacies file lawsuit accusing PBM of underpaying them for medications

By: Tess Vrbin

Outlets: Arkansas Advocate

Published: September 15, 2026

Words: 522

Last Updated: 2 days, 19 hours ago

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Twelve Arkansas pharmacies sued a pharmacy benefit manager in federal court Tuesday, alleging the company illegally underpaid them for tens of thousands of prescription medications.

The complaint accuses St. Louis-based Express Scripts of violating a 2015 law that requires pharmacy benefit managers, also known as PBMs, to pay pharmacies at least the national average of what drugstores pay wholesalers for drugs. The pharmacies that filed the suit include one run by Republican Rep. Brandon …

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