In a statement announcing its lawsuit, the FTC said Caremark, Optum RX and Express Scripts benefit from manufacturer rebates and ignore lower-costing drugs as a way to artificially increase prices. 

The FTC alleges that pharmacy benefit managers have set up a system where they get rich, while patients are forced to pay rising insulin costs. The agency also called out drug manufacturers such as Eli Lilly, Sanofi and Novo Nordisk, saying their own actions have raised serious concerns.

Washington becomes one of a select few where attorneys can also go after a hospital that hired outside physicians, joining South Carolina, Michigan, Maryland and Iowa

Oak City Health paid $200 for every Medicare Advantage patient refereed to its clinics for services, the U.S Department of Justice said. 

According to Oregon Heart Center, an independent cardiology practice, Salem Health is attempting to "monopolize cardiology care" in the area. The two providers had previously coexisted for years. 

Six companies have settled with the city for as total of over $402M. Two remaining defendants, McKesson and AmerisourceBergen, will test their luck in court.

The company was accused of billing the government for prescriptions patients never received. Walgreens said the oversight was a result of a software error. 

In a letter to Congress, the groups are urging lawmakers to support HR 9001 and lift the ban on physician-run hospitals.