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Drug Pricing

McDermott Will & Schulte

This Week in 340B: February 3 – 9, 2026

Find the week’s updates on 340B litigation to help you stay in the know on how 340B cases are developing across the country. Each week we comb through the dockets of more than 50 340B cases to provide you with a quick summary...more

Goodwin

Express Scripts Settles PBM FTC Action and Must Make Fundamental Changes to PBM Model

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On February 4, 2026, Express Scripts agreed to a settlement with the Federal Trade Commission (FTC) in the agency’s administrative case against the nation’s three largest pharmacy benefit managers (PBMs). Under the terms of...more

McGuireWoods Consulting

President Trump Announces the “Great Healthcare Plan”

On Jan. 15, 2026, President Trump announced his “Great Healthcare Plan.” The plan focuses on four priority areas: lowering drug prices, lowering insurance premiums, holding big insurers accountable and maximizing price...more

Cozen O'Connor

FTC Lands Landmark Settlement with Express Scripts over Insulin Rebate Practices

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The FTC reached a settlement with Express Scripts, Inc. and its affiliates (collectively “Express Scripts”) to resolve an administrative lawsuit alleging the pharmacy benefit manager violated Section 5 of the FTC Act by...more

Epstein Becker & Green

GUARD and GLOBE Pricing Models Could Test Manufacturer Rebates for Medicare Part B and D Drugs

Epstein Becker & Green on

As 2025 drew to a close, the Centers for Medicare & Medicaid Services (“CMS”) issued proposed rules for two mandatory pricing models aiming to reduce out-of-pocket costs for Medicare drugs....more

Kilpatrick

Proposed Fee Transparency Rules and New Legislation for Group Health Plan PBMs

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President Trump’s April 15, 2025, Executive Order on lowering the cost of prescription drug pricing, among other things, directed the Department of Labor (DOL) to propose regulations to improve the transparency of fees and...more

Troutman Pepper Locke

Parties Seek Vacatur and Remand of 340B Rebate Pilot, Confirming Program Will Not Proceed on Existing Record

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In our January 14 blog, we explained that Chief Judge Lance Walker of the U.S. District Court for the District of Maine had entered a nationwide preliminary injunction in American Hospital Association v. Kennedy, blocking the...more

Akerman LLP - HR Defense

GLP-1 Medications: What Employers Need to Know About Rising Costs, Coverage Choices, and Managing Legal Risks

GLP-1 medications, originally developed for diabetes and now widely used for weight management, are rapidly becoming a major cost concern for employer health plans. Annual costs per user often exceed $10,000, and demand is...more

Holland & Knight LLP

Holland & Knight Health Dose: February 10, 2026

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U.S. Congress will largely return to normal operations this week, following passage of an appropriations package on February 3, 2026, that will fund the vast majority of federal agency operations through the end of 2026. ...more

McDermott Will & Schulte

JPM briefing: Life sciences investors cautiously optimistic for 2026 and beyond

The life sciences investment climate is looking up, as industry adapts to challenging supply-side forces and AI makes inroads in healthcare....more

McDermott Will & Schulte

This Week in 340B: January 27 – February 2, 2026

Find the week’s updates on 340B litigation to help you stay in the know on how 340B cases are developing across the country. Each week we comb through the dockets of more than 50 340B cases to provide you with a quick summary...more

Warner Norcross + Judd

PBM Reform is Here: What CAA 2026 Means for Employer Health Plans

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On Feb. 3, 2026, President Donald Trump signed into law the Consolidated Appropriations Act, 2026 (CAA 2026), a sweeping piece of legislation including provisions that will substantially impact employer-sponsored health...more

Ballard Spahr LLP

PBM Transparency: Next Steps for Plan Sponsors

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The federal government recently delivered back-to-back measures forcing pharmacy benefit managers (PBMs) to be more transparent about their business models. However, with this heightened transparency comes a host of new...more

Mintz - ML Strategies

2026 Policy Outlook: Federal Priorities Shaping Key Sectors

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The ML Strategies 2026 Policy Outlook examines the major federal policy drivers expected to shape the business environment in 2026. The report covers congressional and executive branch priorities across six sectors including...more

Wilson Sonsini Goodrich & Rosati

“Landmark” Settlement in PBM Case Poised to Broadly Reshape Prescription Drug Market

On February 4, 2026, the Federal Trade Commission (FTC) announced a settlement and consent order in a long-running administrative action against pharmacy benefit managers (PBMs) Express Scripts, OptumRx, and Caremark Rx. The...more

Epstein Becker & Green

OIG Issues Guidance, Request for Information on DTC Programs

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Last week, the OIG posted two important issuances on Direct to Consumer drug programs, including TrumpRx – a Special Advisory Bulletin and a Request for Information (RFI)....more

McDermott+

Healthcare Preview for the Week of: February 9, 2026

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This week, congressional attention will be mainly on funding for the US Department of Homeland Security (DHS) for fiscal year (FY) 2026, which is set to expire this Friday....more

King & Spalding

FTC’s “Landmark” Settlement with Pharmacy Benefit Manager Express Scripts: Impact on Pharma

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On February 4, 2026, the Federal Trade Commission (FTC) announced what it called a “landmark” settlement with Express Scripts, Inc. (ESI) in its enforcement action alleging anticompetitive practices under Section 5 of the FTC...more

Cozen O'Connor

The State AG Report – 02.05.2026

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Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •AG Campbell Cancels Crypto Kiosk Crooks - •AG Coalition...more

Latham & Watkins LLP

Healthcare & Life Sciences: Drug Pricing Digest - February 2026

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Our Drug Pricing and Market Access team tracks recent developments in healthcare reform, the Medicaid Drug Rebate Program, the 340B Program, Medicare, and state law....more

McDermott+

McDermott+ Check-Up: February 6, 2026

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Congress passed a package that funds the US Department of Health and Human Services through fiscal year 2026 and includes health extenders and additional bipartisan health policies....more

Mintz - Health Care Viewpoints

Congress Passes Landmark PBM Reform in 2026 Spending Bill

On February 3, 2026, Congress passed – and the President signed – the Consolidated Appropriations Act, 2026 (2026 CAA). The legislation includes a long‑anticipated and far‑reaching package of PBM reforms. These reforms draw...more

Mintz - ML Strategies

2026 Life Sciences Policy Outlook

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After a year defined by aggressive and often unorthodox executive action, the life sciences sector enters 2026 on the defensive. The Trump administration has shown little inclination to de-escalate, and the pressures of a...more

Mintz - ML Strategies

2026 US Health Care Policy Outlook: Affordability Pressures, TrumpRx, and ACA Uncertainty

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Health care policy will be at the center of Washington’s agenda in 2026. The midterm elections this November are already shaping the federal landscape and influencing Congress’s priorities. Affordability remains a top voter...more

Axinn, Veltrop & Harkrider LLP

Here We Go Again: Third Round of Inflation Reduction Act Drugs Listed

Pursuant to the Inflation Reduction Act (the “IRA”), the Secretary of Health and Human Services (“HHS”) and the Center for Medicare & Medicaid Services (“CMS”) have begun the annual process of negotiating with pharmaceutical...more

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