Nearly 5,000 independent pharmacies have filed an antitrust and breach-of-contract lawsuit against Prime Therapeutics, LLC, alleging the pharmacy benefit manager conspired with Cigna Inc.’s (NYSE:CI) Express Scripts to suppress pharmacy reimbursement rates and increase fees.
Pharmacies Allege Arbitration Delays Blocked Legal Claims
According to the complaint, TRUST LLC, a Virginia limited liability company formed in 2023 by the National Community Pharmacists Association, represents nearly 5,000 independent pharmacies that assigned their claims to the organization.
The lawsuit states that Prime introduced a mandatory arbitration amendment to its Pharmacy Participation Agreements, effective December 1, 2024, requiring disputes to be resolved before JAMS.
Bloomberg Law published a copy of the lawsuit online last week.












