FTC says it reached a settlement with Express Scripts in lawsuit over insulin pricing

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litigation

A settlement was reached between the FTC and Express Scripts that resolves the FTC lawsuit alleging Express Scripts’ conduct inflated insulin drug prices.

Source summary
The Federal Trade Commission announced a settlement with Express Scripts and its affiliated entities that resolves an FTC lawsuit alleging the company’s conduct artificially inflated insulin drug prices. The settlement, described as landmark, targets pricing practices by one of the nation’s largest pharmacy benefit managers (PBMs) and is intended to lower drug costs for American patients.
Latest fact check

On Feb. 4, 2026 the Federal Trade Commission announced a consent agreement with Express Scripts, Inc. (ESI) that the agency said "resolves the Commission's lawsuit" alleging ESI used anticompetitive rebating practices that artificially inflated insulin list prices. The FTC case docket shows an Agreement Containing Consent Order and a Proposed Decision and Order were filed the same day and posted for public comment, and independent outlets (Reuters, CNBC) reported the settlement and its key terms. Verdict: True — primary FTC filings and the agency press release, corroborated by reputable news coverage, confirm the FTC reached and filed a settlement with Express Scripts addressing the insulin-pricing allegations (the agreement is a proposed consent order subject to public comment and finalization).

Timeline

  1. Update · Feb 05, 2026, 12:01 AMTrue
    On Feb. 4, 2026 the Federal Trade Commission announced a consent agreement with Express Scripts, Inc. (ESI) that the agency said "resolves the Commission's lawsuit" alleging ESI used anticompetitive rebating practices that artificially inflated insulin list prices. The FTC case docket shows an Agreement Containing Consent Order and a Proposed Decision and Order were filed the same day and posted for public comment, and independent outlets (Reuters, CNBC) reported the settlement and its key terms. Verdict: True — primary FTC filings and the agency press release, corroborated by reputable news coverage, confirm the FTC reached and filed a settlement with Express Scripts addressing the insulin-pricing allegations (the agreement is a proposed consent order subject to public comment and finalization).
  2. Original article · Feb 04, 2026

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