STAT+: California fines an OptumRx pharmacy for jeopardizing patient health. Is that enough?

This was the second time in recent years the state pharmacy board sought to penalize OptumRx for similar violations committed by the facility.

The California Board of Pharmacy fined OptumRx, one of the largest pharmacy benefit managers in the U.S., $100,000 for a series of prescribing failures at one of its pharmacies that allegedly jeopardized patient health. The company must also donate $75,000 to a charity that assists underserved communities and its pharmacy was placed on probation for a year.

The infractions, which occurred between 2016 and 2020, involved failures to refill prescriptions promptly, substituting a medicine without written consent, telling a patient his health insurer denied a refill due to cost, and dispensing a generic version of a drug with a costly co-pay when the customer had no co-pay for the brand version, according to a complaint the agency filed last year.

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