FTC - Federal Trade Commission

03/23/2026 | Press release | Distributed by Public on 03/24/2026 08:28

Caremark Rx, Zinc Health Services, et al., In the Matter of (Insulin)

Last Updated
March 23, 2026
Case Status
Pending
In the Matter of Caremark Rx, LLC; Zinc Health Services LLC; Express Scripts, Inc.; Evernorth Health, Inc.; Medco Health Services, Inc.; Ascent Health Services LLC; OptumRx, Inc.; OptumRx Holdings LLC; and Emisar Pharma Services LLC, Respondents
FTC Matter/File Number
221 0114
Docket Number
9437
Enforcement Type
Part 3 Administrative Complaints

Case Summary

The FTC filed a lawsuit against the three largest prescription drug benefit managers (PBMs)-Caremark Rx, Express Scripts (ESI), and OptumRx-and their affiliated group purchasing organizations (GPOs) for engaging in anticompetitive and unfair rebating practices that have artificially inflated the list price of insulin drugs.

On February 4, 2026, the Federal Trade Commission secured a landmark settlement with Express Scripts, Inc., and its affiliated entities (collectively "ESI"). The settlement requires ESI to adopt fundamental changes to its business practices that increase transparency, are expected to drive down patients' out-of-pocket costs for drugs like insulin by up to $7 billion over 10 years, bring millions of dollars in new revenue to community pharmacies each year, and advance the Trump Administration's key healthcare priorities.

Case Timeline

January 30, 2026
File
January 21, 2026
January 20, 2026
January 15, 2026
File
January 14, 2026
January 13, 2026
January 2, 2026
December 12, 2025
December 10, 2025
December 8, 2025
November 13, 2025
September 24, 2025
September 23, 2025
August 28, 2025
File
August 27, 2025
August 18, 2025
August 14, 2025
May 30, 2025
April 1, 2025
February 20, 2025
December 23, 2024
December 18, 2024
December 3, 2024
October 11, 2024
October 8, 2024
October 7, 2024
September 24, 2024
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