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Kentucky Attorney General Sues Express Scripts Over Opioid Crisis

Kentucky Attorney General Russell Coleman speaks in Frankfort, Ky., Tuesday, Jan. 2, 2024. (AP Photo/Timothy D. Easley)

Kentucky's attorney general has filed a lawsuit against Express Scripts, a major pharmacy benefit manager, accusing the company of being a central figure in a chain of opioid dispensing that contributed to a deadly addiction crisis in the state. The lawsuit alleges that Express Scripts colluded with opioid manufacturers in deceptive marketing practices to boost sales of these addictive drugs.

The lawsuit highlights the significant increase in prescription opioids sold in the U.S. between 1999 and 2010, with Kentucky being one of the states hardest hit by the resulting overdose epidemic. The suit claims that Express Scripts played a key role in facilitating the oversupply of opioids through intentional actions that prioritized profits over public health.

Pharmacy benefit managers (PBMs) like Express Scripts manage prescription drug coverage for health insurers and employers. While PBMs argue that they help control drug costs and pass on negotiated discounts to clients, they have faced criticism for their role in the opioid crisis.

This lawsuit is part of a broader effort by Kentucky officials to hold opioid manufacturers and distributors accountable for their contributions to the addiction crisis. Previous legal actions have resulted in significant settlements for the state, with funds earmarked for addiction treatment and prevention programs.

The lawsuit against Express Scripts seeks financial penalties for violations of consumer protection laws and alleges that the company failed to report suspicious opioid volumes entering Kentucky. State officials emphasize the ongoing need for comprehensive strategies to combat drug addiction and reduce overdose deaths.

Despite a recent decline in drug overdose deaths in Kentucky, the state continues to grapple with high fatality rates. Efforts are underway to expand drug prevention programs and treatment options, with federal funding playing a crucial role in supporting these initiatives.

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