In the latest bid to pull back the curtain on pharmacy benefit managers, the Ohio attorney general filed a lawsuit claiming Centene (CNC), a health insurer, misrepresented pharmacy costs that caused the state Medicaid program to spend millions of dollars unnecessarily.
The lawsuit alleges that a managed care plan called Buckeye Health Plan, which is owned by Centene, was part of a “web of subcontractors” that provided prescription drug benefits to the state Medicaid program. In the process, Buckeye collected $20 million that raised concern among state officials, a finding that came to light during an audit that was conducted in 2018.
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