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Latest NewsDecember 10, 2025 OK AG Secures $5M Settlement from CVS to Resolve Under-reimbursement Claim Allegations Oklahoma Attorney General Gentner Drummond announced a settlement of more than $5 million with CVS Caremark to resolve allegations that the PBM paid Oklahoma pharmacies less than what the medications actually cost. Under the settlement, CVS Caremark will pay $5,081,520.69 to the AG’s office. The money will repay pharmacies for 68,099 prescriptions filled between January 2024 and August 2025 where they were paid less than what the drugs cost them. The settlement also includes fines and covers the state’s investigation costs. Seventy-five percent of the fines will go directly to affected pharmacies, while 25 percent will support the AG’s continued oversight of PBMs. In addition to monetary relief, CVS Caremark has agreed to reforms including reviewing pharmacy payment disputes against national cost benchmarks, allowing pharmacies to use documentation of actual costs when challenging payments, responding to disputes within 10 calendar days as required by Oklahoma law, and working with the AG’s office during a 90-day period to resolve additional complaints. CVS Caremark denies any wrongdoing and agreed to the settlement to avoid the costs and uncertainties of continued litigation. [Drummond holds CVS Caremark accountable with $5M settlement. Oklahoma Attorney General 08 Dec 2025.] |
