CVS Caremark to Repay Oklahoma $32 Million After Rebate Lawsuit

CVS Caremark Will Repay Oklahoma $32 Million in Settlement

OKLAHOMA CITY, Okla. — CVS Caremark will repay $32 million to the state after a lawsuit claimed the pharmacy benefit manager kept drug rebates and discounts that should have gone to the state employee health plan. The settlement includes $5 million for attorney fees.

CVS: Why It Matters

Officials say the case strengthens oversight of pharmacy benefit managers (PBMs) and aims to ensure savings flow to taxpayers and members rather than intermediaries.

What Changes Next

Expect renewed scrutiny of contract terms, audit rights, and pass-through requirements for rebates. Agencies may push for greater transparency in PBM arrangements going forward.

Next Steps for the State Plan

The settlement funds can bolster plan reserves and offset future premium pressure—though long-term savings depend on contract enforcement.

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