CVS Health's pharmacy benefit manager unit must pay the U.S. government $95 million after a federal judge found it overcharged Medicare for prescription drugs.

According to DoJ, whistleblowers filed a record-high 979 lawsuits in 2024, leading the government to recover more than $2.9 billion in settlements and judgments. DoJ 2025 Lawsuit ...

The case stems from a whistleblower lawsuit filed by a former Aetna actuary who alleged CVS Caremark manipulated drug pricing to inflate Medicare claims while underpaying pharmacies.