By Jonathan L. Swichar, Sheila Raftery Wiggins and Bradley A. Wasser
Two recent cases filed by state attorneys general allege collusion and fixing reimbursement rates among pharmacy benefit managers, following on a trend of states asserting violations of antitrust laws. On August 27, 2026, the Florida Office of the Attorney General filed a lawsuit against two PBMs for allegedly colluding in December 2019 to fix the price of reimbursement rates provided to Florida retail pharmacies. And on August 31, 2026, Louisiana’s Office of the Attorney General filed a similar lawsuit alleging unlawful fixed reimbursement rates to independent pharmacies.