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Louisiana Sues CVS Over Drug Practices


— July 1, 2025

State officials raise concerns over CVS practices affecting drug costs and privacy.


Louisiana has taken legal action against CVS, accusing the pharmacy giant of misusing customer information and using its dominant market power to carry out underhanded drug practices, including rising prices and harming independent pharmacies. The state’s attorney general announced multiple lawsuits targeting CVS, alleging that the company’s business practices have negatively affected consumers and local pharmacies alike.

The controversy began after CVS sent mass text messages to thousands of Louisiana residents in June. These messages urged people to oppose proposed legislation aimed at changing CVS’s business setup. The texts warned that if the law passed, medication costs might rise and CVS stores in the state could shut down. The use of these text messages sparked outrage because many customers felt that CVS was exploiting sensitive communication channels meant for healthcare updates to send political messages. The state argues that this action violated trade laws by misleading consumers and using unfair tactics.

At a press conference, Louisiana’s Governor criticized CVS for using personal data inappropriately, pointing out that even his wife received these texts through normal pharmacy notification channels. This raised concerns about privacy and the ethical use of customer information. Besides the lawsuits filed by the state, two law firms in Louisiana also brought a class action suit against CVS, claiming the text messages were deceptive. CVS has denied any legal violations, stating their communications were lawful and intended to inform customers about possible disruptions in service.

Louisiana Sues CVS Over Drug Practices
Photo by James Anthony from Pexels

In addition to the text message controversy, other lawsuits accuse CVS of unfair drug practices, especially inflating drug prices. CVS operates not only as a retail pharmacy but also as a pharmacy benefit manager (PBM). PBMs act as middlemen, purchasing medications from manufacturers and distributing them to pharmacies. This dual role has raised concerns because CVS and its mail-order pharmacy affiliate, Express Scripts, control a large portion of the market. According to the Federal Trade Commission, these two companies process nearly 80 percent of all prescription drug claims in the U.S.

The FTC has warned that such market control allows CVS and Express Scripts to increase drug costs and put pressure on smaller, independent pharmacies that struggle to compete. The lawsuits suggest that CVS may be using its position to squeeze out competitors and keep prices high for consumers and pharmacies. This behavior is seen as harmful not only to local businesses but also to the affordability and accessibility of medications for many people.

Louisiana’s legal actions are part of a broader effort to challenge large companies that hold significant influence over drug pricing and distribution. By filing these lawsuits, the state hopes to bring attention to business practices that may unfairly disadvantage consumers and independent pharmacies. The cases will seek remedies such as stopping the harmful behavior, imposing penalties, and requiring restitution to those affected.

CVS’s response has emphasized that they believe their drug practices comply with the law and that their communication was aimed at informing customers. Still, the ongoing legal battles highlight growing concerns about transparency, fair competition, and customer privacy in the pharmaceutical industry. The outcome of these cases could have significant implications for how pharmacy benefit managers and large chains operate in the future.

As states like Louisiana push back against what they view as unfair corporate practices, the spotlight remains on the balance between business interests and protecting consumers. The issue touches on wider debates about drug prices in the U.S. and the role of large companies in controlling access to medications. The legal fight in Louisiana may serve as a test case for other states considering similar actions against major players in the pharmacy industry.

In summary, Louisiana’s lawsuits against CVS claim the company used customer data improperly and exploited its market power to drive up drug prices and harm local pharmacies. The state and private law firms are seeking to hold CVS accountable and push for changes that protect consumers and promote fair competition. The case is part of a broader effort to address concerns about how the pharmaceutical industry operates and how it impacts everyday people who rely on medications for their health.

Sources:

Louisiana files lawsuits alleging pharmaceutical giant CVS deceived customers in text messages

CVS sued in Louisiana over patient text messages, pricing and pharmacy fees

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