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CVS Caremark hit with $95M fine over Medicare drug overbilling

By USA Herald  
   June 26, 2025

CVS Health’s pharmacy benefit manager, Caremark, has been ordered to pay $95 million for overbilling Medicare Part D drug reimbursements, a federal judge ruled Wednesday — a decision that could balloon to $285 million if treble damages are imposed. The ruling stems from a False Claims Act lawsuit brought by whistleblower Sarah Behnke, a former actuary at Aetna, who accused CVS Caremark Corp. of artificially inflating drug prices submitted to CMS, while paying pharmacies like Rite Aid and Walgreens significantly less.

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