Health Union Fund Files Lawsuit Against Insulin Manufacturers and PBMs Alleging Price-fixing Conspiracy

The Connecticut health benefits fund has filed a complaint accusing insulin manufacturers and pharmacy benefit managers of deceptive pricing practices that led to overpayment for diabetes medications. The International Union of Operating Engineers Local No. 478 Health Benefits Fund lodged the complaint in the US District Court for the District of Connecticut, naming Eli Lilly and Co., Novo Nordisk Inc., and Sanofi-Aventis U.S. LLC as the companies involved in inflating insulin list prices.

The group alleges that these insulin manufacturers collaborated with PBMs like CVS Caremark, Express Scripts, and OptumRx to engage in a widespread pricing scheme. The complaint suggests that the companies worked together to artificially increase the prices of insulin medications, causing the fund to pay more than necessary for these essential medications.

The PBM Defendants were accused of representing publicly that they were negotiating lower drug prices for consumers, while in reality, they were working in collusion with the insulin makers to set inflated prices. The complaint highlights the deceptive practices that the companies allegedly engaged in, ultimately leading to financial harm for the health benefits fund and its members.

The lawsuit seeks to hold the insulin manufacturers and PBMs accountable for their actions, stating that the deceptive pricing scheme had a significant impact on the fund’s finances. The group is seeking damages and restitution for the overpayment for diabetes medications, as well as seeking to expose the deceptive practices of these companies in the pharmaceutical industry.