Pharmacies prevail in a DIR motion in opposition to Caremark (!)
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That is one thing we (those that personal or work for unbiased pharmacies) have been ready for. Lastly somebody was daring (and courageous) sufficient to convey an motion in opposition to a PBM on DIR charges. This somebody is Aids Healthcare Basis (“AHF”), a California non-profit, which owns and operates retail pharmacies that serve HIV/AIDS sufferers. Whereas many have been exploring a possible authorized motion in opposition to PBMs on DIRs charges, all bumped into an issue that pharmacies contractually conform to such charges (and we've numerous courtroom precedent implementing PBM contracts of adhesion). Just a little background on the case: AHF-affiliated pharmacies used LeaderNet (PSAO) to contract with Caremark. Someday in 2019, the pharmacies terminated their relationships with LeaderNet and commenced contracting immediately with Caremark on their very own behalf. As an alternative of assessing a flat community price – as Care...