Ohio is paying a single pharmacy benefit manager $158 million to manage the state’s Medicaid drug benefits for seven-and-a-half years after PBM spread pricing cost the buckeye state as much as $244 million annually. Ohio has been at the forefront of ending spread pricing so other states might copy its approach. Spread pricing refers to the undisclosed share of money that pharmacy benefit managers keep from insurers when PBMs reimburse pharmacies for dispensing drugs, typically generics. As first reported by...