US lawmakers propose breaking up PBM-owned pharmacies

A bipartisan legislative proposal, the Patients Before Monopolies Act, aims to break up vertically integrated healthcare companies that own both pharmacy benefit managers (PBMs) and retail pharmacies. If enacted, companies like Cigna, CVS Health, and UnitedHealth would be required to divest their retail pharmacy operations within a year. This move is seen as a more significant threat to industry profitability than current PBM reforms, particularly impacting the lucrative specialty pharmacy sector. AI

RANK_REASON Significant legislative proposal targeting industry structure and profitability. [lever_c_demoted from significant: ic=1 ai=0.0]

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• CVS Caremark
• CVS Health
• Express Scripts
• Federal Trade Commission
• OptumRx
• Patients Before Monopolies Act
• Cigna

• policy
• other

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