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Oregon Sues Drug Companies for $1B, Alleging Scheme to Inflate Insulin Prices over Decades

Oregon accuses companies of colluding to inflate insulin prices and seeks $900 million for violations of the state’s Unlawful Trade Practices Act.

  • On Wednesday, Oregon Attorney General Dan Rayfield sued three insulin manufacturers and major PBMs in Multnomah County seeking $900 million and to bar overcharging.
  • Manufacturers and PBMs allegedly coordinated by raising list prices despite falling production costs, then paid rebates to PBMs for favorable placement on formularies while steering patients from cheaper options.
  • A RAND Corp. found the 2020 average manufacturer list price was nearly $99 per unit, while prices rose from about $20 to between $300 and $700 despite production costs under $20, affecting about 38 million Americans with diabetes and more than 370,000 Oregonians, according to Oregon Attorney General Dan Rayfield.
  • Rayfield said he seeks a court order to stop the alleged scheme and restitution, noting hundreds of related suits have consolidated in U.S. District Court in the District of New Jersey.
  • Federal scrutiny includes congressional probes and a Federal Trade Commission lawsuit, while policy moves such as the Inflation Reduction Act and Eli Lilly’s 2023 price cut respond to concerns prompting lawsuits in states including Indiana, California, Arkansas and Mississippi.
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Krem2 News broke the news in Spokane, United States on Wednesday, January 7, 2026.
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