• Sam Wares

Pharmaceutical Benefit Plan Settlements

Updated: Jan 12

$217 Million available via Pharmaceutical Benefit Plan Class Action Settlements


There are currently a number of active antitrust settlements and lawsuits that fall into the category of “pharmaceutical benefit plan settlements.” Under these settlements, it is generally alleged that businesses with self-insured health plans overpaid for drugs purchased on behalf of their employees due to artificially inflated and/or stabilized prices. The prices were allegedly manipulated as a result of anti-competitive practices undertaken by the drug manufacturers.

Immediately Available Settlements

Product: LOVENOX / ENOXAPARIN (blood thinner)

Date Range: Sept. 2011 - Sept. 2015

Settlement Fund: $120 Million

Filing Deadline: 9/1/2020

Eligible Locations: Organizations located in Arizona, Arkansas, California, District of Columbia, Florida, Hawaii, Illinois, Iowa, Kansas, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Carolina, North Dakota, Oregon, South Dakota, Tennessee, Utah, Vermont, West Virginia, and Wisconsin

Hospitals have additional purchase eligibility:

  • The Lovenox settlement includes eligible purchases made by the hospital for members of its benefit plan as well as purchases made by the hospital's internal pharmacy for inpatient use (not for resale).

Product: LOESTRIN 24 FE / MINATRIN 24 FE (birth control)

Date Range: Sept. 2009 - Sept. 2019

Settlement Fund: $63.5 Million

Filing Deadline: 9/21/2020

Eligible Locations: Organizations located anywhere in the United States

Product: THALOMID / REVLIMID (sleep disorder)

Date Range: Purchases any time before May 20, 2020

Settlement Fund: $34 Million

Filing Deadline: 10/15/2020

Eligible Locations: Organizations located in California, Florida, Kansas, Maine, Massachusetts, Michigan, Nebraska, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, or Tennessee

Recommended Next Steps Data is often required to complete your claim for settlements in this category. Connect us with a member of your Benefits Department so an MCAG representative can describe the information that is necessary to complete your claim for these pharmaceutical settlements. We typically only need a 5 to 10 minute call. We will quickly review the process so we can efficiently obtain necessary information from your Pharmacy Benefit Manager (i.e. CVS Caremark, Express Scripts, OptumRX) to pursue current and future pharmaceutical settlements.

Enroll in MCAG's Settlement Recovery Service

If you are interested in MCAG pursuing a claim to this settlement on your behalf, please contact one of our representatives at 800-355-0466.  There are no upfront fees for this service. MCAG aligns its incentives with yours and charges a percentage of any recoveries obtained on your behalf.  Services include all the data analysis necessary to determine eligibility, document preparation, claims filing, recovery and reconciliation for enrolled customers.  If no money is recovered for your organization from the Settlement(s), then MCAG will not charge or retain a fee.

MCAG is not the Settlement/Class Administrator, and this is not the official settlement website.

Need more information? Call MCAG at 1-800-355-0466 to learn more or CLICK HERE to complete our contact form and an MCAG representative will respond shortly.