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News & Press: Breaking News

Three Compounding Pharmacies Suing Express Scripts

Tuesday, November 18, 2014   (0 Comments)
Posted by: Dagmar Anderson
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Three pharmacies are suing Express Scripts, Inc. for violations of federal regulations in a scheme to deny payments for compound pharmaceuticals. The suit alleges that thousands of patients are being impacted by the scheme.

The suit was brought in federal court in St. Louis on behalf of three compounding pharmacies, two based in Texas - Annie's Apothecary and Cypress Compounding Pharmacy, and one in Louisiana, Mason's Pharmacy. Express Scripts (ESI), based in St. Louis, is described as the largest U.S. claims administrator and fiduciary for health plan pharmacy claims.

According to the suit, Express Scripts has recently undertaken a scheme to reject all claims under health plans seeking payment for "compound" pharmaceuticals. These medicines are customized drugs made according to specific prescriptions written by doctors when there are no alternative medicines available that are either mass-produced or commercially made. Patients suffering from various conditions, diseases and injuries benefit from these medications every day, according to the suit.


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