UK sues CVS in federal court, alleges company owes it millions of dollars

The Labor Department finalized a rule requiring pharmacy benefit managers (PBMs) to disclose compensation details to self-insured employers, aiming to lower drug costs by $22 billion over a decade. Effective July 2027, PBMs must share rebates, spread payments, and other data during contract negotiations and every six months. Non-compliance may result in financial penalties. The rule is supported by employers but opposed by PBMs, who argue it's excessive and duplicative.

CVS Health's Aetna subsidiary, along with Elevance Health, SCAN Health Plan, Alignment Healthcare, Healthfirst, and Centene, sued CMS over Medicare Advantage star ratings. They allege CMS used invalid measures, leading to lower ratings and $2B+ in lost bonus payments for Aetna. CMS has not responded. Ratings affect benefits for 4.2M Aetna members and $12.7B in annual bonuses.

CVS Pharmacy settled with the U.S. government for $315 million over allegations of failing to prevent illegal opioid dispensing between 2013 and 2025. The settlement resolves claims of excessive opioid distribution and violations of the Controlled Substances Act.

CVS Health (CVS) sued HHS and CMS, alleging unlawful quality measures in 2027 Medicare Advantage Star Ratings cost it over $2 billion. The company seeks recalculation, citing a prior court ruling. The case could impact all Medicare Advantage plans and bonus payments.

Hasbro (HAS) filed a WARN notice, closing RI facilities and moving jobs to Boston. Bank of America (BAC) agreed to a $1.21B settlement for AML violations. CVS (CVS) settled for $315M over opioid prescription violations. Key figures and political responses noted.

CVS Health, Aetna, and subsidiaries sued the Trump administration, alleging HHS excluded them from Medicare bonus payments. The lawsuit claims CMS did not recalculate their Medicare Advantage quality rating after reassessing rival Clover Insurance's rating.