Health

Kentucky attorney general targets another big pharmacy benefit manager in opioid-related lawsuit

Kentucky attorney general targets another big pharmacy benefit manager in opioid-related lawsuit

FRANKFORT, Ky. — Kentucky’s attorney general has expanded an opioid-related lawsuit to target another big pharmacy benefit manager that he claims contributed to the state’s deadly addiction crisis.

OptumRx has been added as a new defendant in the suit that was filed two months ago, Attorney General Russell Coleman said Tuesday. His claims against Optum and its affiliated organizations are similar to those initially made against Express Scripts, which remains a defendant in the case.

The Republican attorney general accused Optum of playing a central role in what he called the reckless promotion, dispensing and oversupply of opioids. OptumRx controls a pharmacy network consisting of about 67,000 retail pharmacy locations nationwide, the suit said.

Kentucky was ravaged by the addiction crisis, resulting in some of the nation’s highest overdose death rates.

“These groups pushed a profit-fueled agenda at the expense of Kentucky families, who are left with empty seats at the dinner table,” Coleman said in a release.

Optum did not immediately respond to emails seeking comment Tuesday. When it was sued in September, Express Scripts responded that it has long worked to combat opioid overuse and abuse and would “vigorously contest these baseless allegations in court.”

Coleman initially filed the legal action in a state court, but the two sides are wrangling over whether it should be in state or federal court, his office said. He wants the case heard in state court.

Coleman has accused the defendants of using deceptive marketing to boost sales of highly addictive drugs. They also dispensed opioids through mail-order pharmacies without effective controls in violation of Kentucky and federal law, he said.

He is seeking, among other things, civil penalties for each willful violation of the Kentucky Consumer Protection Act, plus any other relief deemed appropriate by the court.

“Defendants have hidden their conduct through non-transparent business practices and by requiring each entity with whom they conduct business, such as opioid manufacturers, to enter into confidentiality agreements or otherwise keep their agreements confidential,” the lawsuit says.

Pharmacy benefit managers, or PBMs, run prescription drug coverage for health insurers and employers that provide coverage. They help decide which drugs make a plan’s formulary, or list of covered medications. They also can determine where patients go to fill their prescriptions.

PBMs have drawn the ire of…

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