Pennsylvania sues pharma companies for insulin price collusion

Pennsylvania sues drug makers and PBMs over 1,000% insulin price hikes.

Oct 13, 2026

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Pennsylvania sues pharma companies for insulin price collusion

Pennsylvania sues drug makers and PBMs over 1,000% insulin price hikes.

In brief

Pennsylvania sues drug makers and PBMs over 1,000% insulin price hikes. Pennsylvania sued drug companies and pharmacy benefit managers for allegedly raising insulin prices by over 1,000% since the mid-2000s. Originally reported by PhillyVoice.

Pennsylvania sues drug makers and PBMs

Pennsylvania filed a lawsuit against pharmaceutical companies and pharmacy benefit managers for allegedly colluding to inflate insulin prices by more than 1,000%.

Affected 1.3 million diabetics

The lawsuit claims 1.3 million Pennsylvania residents with diabetes and 3.5 million with prediabetes were harmed by artificially inflated insulin prices.

Price hikes from $2 to $300-$700

Price hikes from $2 to $300-$700

Insulin prices jumped from $2 to $300-$700 per vial, despite the drugs costing less than $2 to manufacture, since the mid-2000s.

PBM quid pro quo deals

Pharmaceutical companies allegedly paid PBMs a portion of profits to include insulin in their plans, creating a quid pro quo arrangement.

PBM drug exclusions

Around 2012, PBMs began excluding one or more drugs that treat the same condition to boost their own profits.

Attorney General's claim

The lawsuit states that the PBM Defendants control which drugs are available for most Pennsylvania diabetics and inflate prices for life-sustaining drugs.

Restitution and penalties

Attorney General Dave Sunday seeks restitution for affected patients and $1,000 penalties per violation of the Unfair Trade Practices and Consumer Protection Law.

Philadelphia DA lawsuit

Philadelphia District Attorney Larry Krasner filed a similar lawsuit against the same pharmaceutical companies and PBMs in 2024.

Price cuts in response

Drug manufacturers like Eli Lilly and Novo Nordisk began slashing insulin prices in 2024 after significant backlash and federal pressure.

Inflation Reduction Act impact

The Inflation Reduction Act capped insulin costs at $35 per month for seniors on Medicare starting in 2023.

The big picture

Pennsylvania sued drug companies and pharmacy benefit managers for allegedly raising insulin prices by over 1,000% since the mid-2000s.

Read the original on PhillyVoice

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