STAT+: Solicitor general urges Supreme Court not to review an Oklahoma law for regulating PBMs

The U.S. solicitor general agreed with the appeals court on three provisions of the state law that the PBM trade group had challenged.

May 30, 2025 - 00:15
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STAT+: Solicitor general urges Supreme Court not to review an Oklahoma law for regulating PBMs

In a boost for pharmacy benefit managers, the U.S. solicitor general advised the Supreme Court not to review an appeals court ruling that struck down key parts of an Oklahoma law regulating the retail networks created by these controversial middlemen in the pharmaceutical supply chain.

The law, which was enacted in 2019, was designed to ensure that pharmacy benefit managers maintain access to a large number of pharmacies and do not steer patients to favored outlets, among other things. The move came amid increased concern that opaque business practices were raising prescription drug costs for consumers and health plans, often by squeezing independently owned pharmacies.

But the Pharmaceutical Care Management Association, a trade group for pharmacy benefit managers, sued to block the law and objected to Oklahoma’s attempt to “interfere” with efforts to administer health plans that promote “affordable choices” for patients. Specifically, the group argued the law was preempted under the Employee Retirement Income Security Act and the Medicare Part D program.

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