Florida Fines Pharmacy Benefit Managers More Than $12.66 Million Over Pricing, Network and Pharmacy Payment Violations
The Florida Office of Insurance Regulation said on November 9, 2026, that Insurance Commissioner Mike Yaworsky has issued more than $12.66 million in penalties against pharmacy benefit managers for not complying with Florida law. The penalties are the culmination of market conduct examinations into the business and affairs of the PBMs, and the examination reports cite violations in four areas: fair pricing models, network adequacy and fair access, pharmacy remittances, and the prohibition of unilateral changes to pharmacy contracts.
A pharmacy benefit manager is an intermediary that contracts to administer prescription drug benefits on behalf of a pharmacy benefits plan or program, negotiating prices and rebates with pharmacies and drugmakers. After Governor Ron DeSantis championed and signed the Prescription Drug Reform Act in May 2023, the office gained authority to examine the business and affairs of each PBM biennially.
"We must demand transparency and accountability for all pharmacy benefit managers in Florida to ensure companies cannot hide revenue, retain rebates instead of passing savings to consumers, or raise costs for patients who may rely heavily on critical prescriptions," Yaworsky said. Drug pricing can be complex, he added, but it should never be hidden for PBMs' own financial incentives, and Florida law will be adhered to.
The office said many PBMs have taken, or are taking, corrective action following the examinations, while several are actively pushing back against the findings or penalties and pursuing litigation. Completion of some examinations is delayed because certain PBMs are not cooperating, and in some instances examiner invoices have not been paid by the examined PBM since January 2025; the office continues to evaluate each instance to determine the appropriate enforcement action. (Source: Florida Office of Insurance Regulation)
Source: Florida Office of Insurance Regulation
Published by GSM · USA (original Chinese edition)
Photo: 图：位于 Tallahassee 的佛罗里达州历史议会大厦与新议会大厦，州保险监管办公室在此公布对药房福利管理人的处罚。Wikimedia Commons 图片（CC BY-SA 3.0）。 / Photo: Florida's Historic Capitol and the State Capitol tower in Tallahassee, where the state Office of Insurance Regulation announced its pharmacy benefit manager penalties. Image via Wikimedia Commons (CC BY-SA 3.0).
