Drug Pricing & Pharmacy Benefit Management (PBM)
Experienced Attorneys Supporting State Investigations Into Inflated Drug Costs
The Joel Bieber Firm supports Attorneys General in investigating and litigating drug pricing practices and PBM arrangements that increase costs for taxpayers and consumers. Our team assists in examining rebate structures, spread pricing models, and contracting practices that affect state programs and market transparency.
We work alongside state offices pursuing efforts to promote fair pricing and accountability within pharmaceutical distribution and reimbursement systems.
Our Focus Areas
Our attorneys understand the drug pricing investigations and enforcement actions Attorneys General are advancing nationwide, including matters involving:
- Rebate & Kickback Schemes – PBM-manufacturer deals that hide true costs and raise Medicaid expenses.
- Spread Pricing – PBMs charging states more than they pay pharmacies, pocketing the difference.
- Formulary Manipulation – Incentives driving drug placement over clinical value, limiting access.
- Pharmacy Network Restrictions – Steering tactics and mandatory mail-order, which affect the business of local pharmacies.
- Generic Price Fixing – Investigating deceptive practices among manufacturers and distributors.
Representative Matters in Drug Pricing & PBM Enforcement
Our attorneys have closely examined the drug pricing investigations and enforcement actions State Attorneys General are pursuing across the country, including:
- PBM Rebate Manipulation Cases – Investigating how opaque rebate structures drive up list prices and increase costs to Medicaid and state health plans.
- Spread Pricing Enforcement Actions – Reviewing PBM contracts to uncover hidden profit-taking that inflates state spending on prescription drugs.
- Insulin & Specialty Drug Pricing Investigations – Supporting efforts to evaluate manufacturer-PBM tactics that sustain artificially high prices on essential medications.
- Pharmacy Steering & Network Exclusion – Analyzing restrictive PBM policies that limit patient choice and undermine independent community pharmacies.
Enforcing Fair Drug Pricing
We assist Attorneys General in addressing drug pricing and PBM practices that increase costs for patients, taxpayers, and public health programs.
Experience Supporting Drug Pricing & PBM Enforcement
The Joel Bieber Firm’s Government Division combines litigation experience with legislative awareness in matters involving pharmaceutical pricing and PBM regulation.
- Deep Drug Pricing Expertise – Handling complex rebate flows and pricing tiers on generic and specialty medications.
- Tailored for AGs – Developing strategies consistent with state enforcement priorities and public health objectives.
- Public Impact Mission – Supporting efforts to promote transparency, reduce costs, and safeguard taxpayer resources.