Iowa Medicaid Audit Uncovers $100 Million in Hidden Pharmacy Benefit Manager Gains

By Ed Silverman · STAT News · 2026-07-20

An investigation into Iowa’s Medicaid records suggests a major pharmacy benefit manager utilized complex accounting tactics to retain over $100 million between 2019 and 2021. STAT News reports that these intermediaries manipulated payment amounts to local pharmacies without retur

An investigation into Iowa’s Medicaid records suggests a major pharmacy benefit manager utilized complex accounting tactics to retain over $100 million between 2019 and 2021. STAT News reports that these intermediaries manipulated payment amounts to local pharmacies without retur