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Ohio Sues Pharmacy Benefit Manager For Overcharging $16 Million

Auditor Dave Yost (left) discusses the bill alongside Sen. Dave Burke (R-Marysville), the chair of the Health, Human Services and Medicaid committee.
Karen Kasler
Ohio Public Radio

Ohio is suing a company that managed prescription benefits for the state Bureau of Workers' Compensation, seeking to recover nearly $16 million in alleged overcharges for the fund for injured workers.

Attorney General Dave Yost says OptumRx Administrative Services managed drug prescriptions for BWC clients but didn't provide the contractually arranged discounts on generic drugs between 2015 and 2018. The lawsuit was filed Friday in Franklin County.

A message seeking comment was left Monday for a law firm representing OptumRx.

Yost says the company's contract expired in October, and BWC now uses a different pharmacy benefit manager.

Such companies, known as PBMs, have faced recent scrutiny in Ohio over their pricing practices, including for charging much more than the amount they reimbursed pharmacists for drugs provided to Medicaid recipients.