CVS Caremark to pay $290M following Medicare fraud scheme revealed by ex-Aetna whistleblower
CVS Health’s Caremark Ordered to Pay $290 Million Over Medicare Overcharges A federal court has directed Caremark, the pharmacy benefits manager for CVS Health, to pay nearly $290 million due to allegations of overcharging Medicare for prescription drugs a decade ago. This came after Sarah Behnke, a former actuary at Aetna, accused Caremark of defrauding […]
CVS Caremark replaces Zepbound with Wegovy on its preferred medication list, requiring patients to change.
CVS Caremark Drops Zepbound, Shifts to Wegovy for Weight Loss Many patients using GLP-1 medications for weight loss are navigating a frustrating shift due to changes in insurance coverage. With CVS Caremark, one of the major pharmacy benefit managers in the U.S., announcing it will discontinue coverage for Zepbound (Tirzepatide) as of July 1, this […]
REPORT: House Republicans Open Antitrust Investigation Against CVS Caremark
House Republicans on Thursday filed an antitrust investigation into whether large pharmacy benefit manager (PBM) CVS Caremark is using its market position to prevent independent pharmacies from using innovative cost-cutting tools. A legal investigation has begun. House Judiciary Committee Chairman Jim Jordan is spearheading an investigation focused on allegations that CVS Caremark prevented these pharmacies […]