Express Scripts Files Lawsuit Against FTC, Claims Drug Pricing Report Misleading

Pharmacy benefit manager (PBM) Express Scripts has filed a lawsuit against the U.S. Federal Trade Commission (FTC), challenging the agency’s recent report on drug pricing. According to Reuters, the company claims the report defames PBMs by concluding that they contribute to rising drug costs.

Express Scripts, owned by Cigna, filed the lawsuit on Tuesday in a federal court in St. Louis, Missouri, seeking a court order to remove the report from public circulation. The company also requests that FTC Chair Lina Khan be recused from any further actions related to the company.

The FTC’s report, published in July, argued that market consolidation within the PBM sector has created conflicts of interest. The regulator pointed to PBMs steering patients toward their own affiliated businesses, which harms independent pharmacies’ ability to compete. “The FTC stands by our study,” said FTC spokesperson Douglas Farrar, per Reuters. Farrar also highlighted that three major companies, including UnitedHealth Group’s Optum, CVS Health’s CVS Caremark and Express Scripts, control nearly 80% of the PBM market.

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Express Scripts has strongly pushed back against the report, asserting that the FTC ignored significant evidence the PBMs provided and instead relied heavily on public comments. In its lawsuit, the company contends the report has sparked lawsuits and investigations from both state regulators and federal lawmakers.

Express Scripts also criticized the FTC’s approach, stating that the agency should be a neutral advocate for consumers and fair competition rather than being influenced by political interests. “The Commission was intended to be a bipartisan defender of consumers and fair competition, not an ideological pawn driven by political winds and special interests,” the company said in its filing.