The California Board of Pharmacy fined OptumRx, one of the largest pharmacy benefit managers in the U.S., $100,000 for a series of prescribing failures at one of its pharmacies that allegedly jeopardized patient health. The company must also donate $75,000 to a charity that assists underserved communities and its pharmacy was placed on probation for a year.
The infractions, which occurred between 2016 and 2020, involved failures to refill prescriptions promptly, substituting a medicine without written consent, telling a patient his health insurer denied a refill due to cost, and dispensing a generic version of a drug with a costly co-pay when the customer had no co-pay for the brand version, according to a complaint the agency filed last year.
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