Ohio AG Asks OptumRx for $16 Million for WC Drug Overcharges

Pharmacy benefit managers, part of a multibillion-dollar niche industry that evolved to hold down medication costs in America's complex health care landscape, are now facing increasing criticism from state and federal regulators that they're not providing the cost savings they promised. The latest jolt comes from the Ohio attorney general, who is demanding that OptumRx refund almost $16 million because of overcharges to the Ohio Bureau of Workers' Compensation. In a Feb. 11 letter to Optum, Attorney General Dave Yost said the PBM, one of the largest in the U.S., had overc...