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PBMs slip after FTC indicates outsized influence of middlemen on US drug prices



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** Shares of pharmacy benefit managers slip after the U.S. Federal Trade Commission says consolidation of pharmacies and health insurance companies through years of deal making has led to a handful of pharmacy benefit managers exercising outsized influence over prescription drug prices

** Shares of CVS CVS.N fall 1%, Humana HUM.N down 1.2% while UnitedHealth UNH.N marginally down

** Pharmacy benefit managers, or PBMs, act as middlemen between drug companies and consumers and negotiate volume discounts and fees with drug manufacturers, create lists of medications that are covered by insurance, and reimburse pharmacies for prescriptions

** The three biggest PBMs are UnitedHealth's Optum unit, CVS's CVS Caremark and Cigna Corp's CI.N Express Scripts

** The FTC also investigated Humana Pharmacy Solutions, Prime Therapeutics and MedImpact Healthcare Systems

** The FTC argues the three biggest PBMs - managing 79% of U.S. prescription drug claims - have greatly enriched themselves at the expense of smaller pharmacies and consumers

** CVS stock down ~29% YTD, HUM down 19.4%, UNH down ~8%, while CI up ~7%



Reporting by Sriparna Roy in Bengaluru

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