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CVS to file lawsuit over ‘Fair Rx’ Act in Tennessee

CVS said the law would force 160 pharmacies to close and put thousands of workers at risk, according to its federal filing.

  • On Friday, CVS Health sued Tennessee lawmakers hours after Governor Bill Lee signed a law banning pharmacy benefit managers from owning pharmacies, with a federal judge blocking the law from taking effect.
  • Nearly a decade of efforts to curb pharmacy benefit managers culminated in legislation backed by Tennessee lawmakers with personal stakes in the pharmacy industry, including Senate sponsor Bobby Harshbarger, who owns a pharmacy.
  • Pharmacists Association CEO Anthony Pudlo argued independent pharmacies lack negotiating power against dominant PBMs that audit and control compensation, while a state audit revealed PBMs reimbursed drugs at affiliated pharmacies up to 160 times higher than non-affiliated stores.
  • CVS spokesperson Amy Thibault called the law unconstitutional, pledging to exhaust all options to serve 1.5 million Tennessee pharmacy patients, while Americans for Lower Drug Prices warned rural Tennesseans and chronically ill patients would suffer most.
  • In 2025, Arkansas passed similar legislation; CVS won a preliminary injunction stopping that bill, then applied the same legal strategy in Tennessee, though Tennessee Fiscal Review Committee executive director Bojan Savic disputed the projected $24 million cost.
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Local 3 News broke the news on Tuesday, May 26, 2026.
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