Utah AG targets UnitedHealth Group in new opioid lawsuit

SALT LAKE CITY — Utah Attorney General Sean Reyes filed a lawsuit against UnitedHealth Group Monday, highlighting the state’s next target in an “ongoing effort” to prosecute those who “sought to profit” off the opioid epidemic.

The lawsuit names UnitedHealth Group and its pharmacy benefits manager, Optum Rx, alongside the Cigna-owned Express Scripts as two of the nation’s largest pharmacy benefit managers and defendants in the case. According to Reyes, the PBMs quadrupled the number of prescription opioids sold annually in the U.S., which led to a “tripling of the number of Utahns who died from prescription opioid overdose.”

Data from the Centers for Disease Control and Prevention outlines the epidemic with the number of people who died from an opioid overdose in 2022, which was 10 times more than in 1999.

Reyes continued with an argument that highlighted how much data and information UnitedHealth Group’s two PBMs collected over the course of two decades, even quoting a statement made by an unnamed Optum Rx executive on the type of data that was obtained:

I have billions of claims, literally billions of claims. Every claim that we go through goes through an algorithm. This is all happening in realtime at the pharmacy. When you go to the pharmacy, in microseconds, I know if my patients are on a concurrent (benzodiazepine). I know what the dose is. I know what the day’s supply is. I know what other drugs they’re taking, and I can have realtime (point of sale) edits going through making sure everything is happening appropriately.

 

Please read the complete story, and more from author Mary Culbertson, at KSLTV.com