"A former Aetna actuary in the Medicare department won a $95 million False Claims Act judgment (PDF) against pharmacy benefit manager Caremark on Wednesday. She alleged Caremark prompted health insurers to misrepresent to the government the price paid for prescription drugs for Medicare beneficiaries. Importantly, the lawsuit claimed Caremark contracted with pharmacies to pay a fixed average price but caused higher prices to be reported." [U.S. ex rel Behnke v. CVS Caremark Corp., No. 14-0824 (E.D. Penn. Jun. 25, 2025)]  MORE >>