CVS, Express Scripts Sue Over Arkansas Law Banning PBM-Owned Pharmacies

CVS Health and Express Scripts have filed lawsuits in federal court seeking to overturn an Arkansas state law that will prohibit pharmacy benefit managers (PBMs) from owning or operating pharmacies in the state, the companies said in separate lawsuits filed in Little Rock federal court.
The lawsuits, filed Thursday, argue that the law—set to take effect on Jan. 1, 2026— places an unconstitutional restriction on interstate commerce by burdening out-of-state companies.
CVS, headquartered in Rhode Island, and Express Scripts, based in St. Louis and a unit of Cigna Group, are among the nation’s largest PBMs. They are seeking a court order declaring the law unconstitutional and barring its enforcement, according to the filings….