Optum Rx to Pay $5.8M for Not Following Pricing Procedures

The Massachusetts Attorney General’s Office announced that pharmacy benefits manager Optum Rx agreed to pay $5.8 million to settle a claim that it failed to follow workers’ compensation prescription drug pricing procedures. Optum did not admit any of the alleged wrongdoing in the settlement filed Wednesday. “The settlement, filed in Suffolk Superior Court, resolves allegations that Optum Rx, in some circumstances, failed to apply various regulatory benchmarks — like the federal upper limit for Medicare and the Massachusetts maximum allowable cost — to its pricin...