Attorney generals from 28 states have reached a $9.3 million settlement with the pharmacy benefits management company Express Scripts Inc., over its activities in switching health plan participants and workers' compensation patients to cheaper prescriptions, it was announced.

PBMs enter into contracts with employer and governmental health plans to process prescription drug claims, to negotiate discounts with drug companies and participating retail pharmacies, as well as dispense drugs through PBM-owned mail-order pharmacies.

In recent years, they have been used increasingly as tool to reduce workers' comp medical care costs.

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