Thread regarding Optum layoffs

California fines an OptumRx pharmacy for jeopardizing patient health. Is that enough?

https://www.statnews.com/pharmalot/2022/04/28/california-pharmacy-optumrx-pharmacist/

The California Board of Pharmacy fined OptumRx, one of the largest pharmacy benefit managers in the U.S., $100,000 for a series of prescribing failures at one of its pharmacies that allegedly jeopardized patient health. The infractions, which occurred between 2016 and 2020, involved failures to refill prescriptions promptly, substituting a medicine without written consent, telling a patient his health insurer denied a refill due to cost, and dispensing a generic version of a dr-g with a costly co-pay when the customer had no co-pay for the brand version, according to a complaint the agency filed last year.

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| 981 views | | 7 replies (last September 24, 2023) | Reply
Post ID: @OP+1oKmBao2

7 replies (most recent on top)

100K is like sending a child to bed without finishing dessert (they ate some). Fortune 100 companies make decisions in billions. There was no real punishment (fine), just a way to placate and move on.

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Post ID: @1rwl+1oKmBao2

The site in question is closed already, they do not fill prescriptions out of Carlsbad for at least a year now. The board got its wish for less egregious errors than retail pharmacies make.

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Post ID: @bsh+1oKmBao2

U.S. Department of Labor sues UnitedHealth Group over thousands of denied claims
August 2023

https://www.startribune.com/u-s-labor-department-sues-unitedhealth-group-over-denied-claims-umr-emergency-room-er-ur----y-dr-g/600294286/

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Post ID: @rkw+1oKmBao2

Chairman Comer is calling on the largest PBMs—CVS Caremark, Express Scripts, and OptumRx—to provide documents, communications, and information related to their practices that are distorting the pharmaceutical market and limiting high quality care for patients.

https://comer.house.gov/2023/3/comer-launches-investigation-into-pharmacy-benefit-managers-role-in-rising-health-care-costs

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Post ID: @yrl+1oKmBao2

House Republicans open investigation into role of intermediaries in prescription dr-g prices
https://thehill.com/policy/healthcare/3879512-house-republicans-open-investigation-into-role-of-intermediaries-in-prescription-dr-g-prices/

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Post ID: @wlb+1oKmBao2

https://www.pharmacy.ca.gov/enforcement/accusations/ac186638.pdf

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Post ID: @ple+1oKmBao2

‘Where’s my prescription?’: California wants to revoke an OptumRx pharmacy license for prescribing lapses

https://www.statnews.com/pharmalot/2021/11/16/pbm-optum-unitedhealth-california/

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Post ID: @vod+1oKmBao2

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