Arbitrator Calls PBM CVS Caremark’s Charge-Backs ‘Unconscionable’

By Gabrielle Wanneh / September 20, 2022 at 3:42 PM
A federal court in Arizona awarded $23 million to pharmacies owned by the AIDS Health Foundation to settle a years-long dispute with CVS Caremark over pharmacy reimbursement, and the PBM is no longer allowed to use the variable charge-backs that it used for those pharmacies. U.S. District Court of Arizona Judge Diane Humetewa confirmed an arbitration award, issued in November 2021, that found that CVS Caremark used its size to impose “unconscionable” contract terms on the pharmacies. The award entitled...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.