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Elizabeth Warren (D-MA)
Elizabeth Warren
Democrat·Massachusetts

Following Hearing, Warren Presses Trump Military Official to Release Data Revealing Whether Military Contractor is Overcharging Military for Prescription Drugs

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Home Newsroom Press Releases June 10, 2026 Following Hearing, Warren Presses Trump Military Official to Release Data Revealing Whether Military Contractor is Overcharging Military for Prescription Drugs Largest pharmacy benefit manager in the U.S. may be sending affiliated pharmacies inflated payments, elbowing out competitors “[T]axpayers deserve to know that (government funds) are being used for their intended purpose, not for potential self-dealing by DHA contractors.” Text of Letter (PDF) Washington, D.C. — U.S. Senator Elizabeth Warren (D-Mass.), a member of the Senate Armed Services Committee (SASC), wrote to Assistant Secretary of Defense for Health Affairs Keith Bass, urging him to follow through on commitments he made to release data that would allow Congress to evaluate whether Express Scripts, the largest pharmacy benefit manager in the United States and military pharmacy contractor, may be sending inflated payments to its own pharmacies and under-reimbursing competing pharmacies. “[T]axpayers deserve to know that [government funds] are being used for their intended purpose, not for potential self-dealing by [Defense Health Agency] contractors,” said Senator Warren . The Defense Health Agency (DHA) spends billions of dollars to provide TRICARE pharmacy benefits — as part of the military health care system — to 9.6 million service members, retirees, and family members. Since 2009, DHA has awarded Express Scripts an exclusive TRICARE pharmacy contract, which involves running the military’s retail pharmacy network and mail order program. But Express Scripts also owns mail order and specialty pharmacies that participate in the TRICARE network. Reporting has revealed that Express Scripts appears to be charging the military $484 more, on average, to dispense generic drugs through Express Scripts’ own mail-order pharmacies than through competing pharmacies. “[This] creates a clear conflict of interest,” said Senator Warren. As a result of onerous contract terms offered by Express Scripts, more than 13,000 retail pharmacies have left the TRICARE network since 2022, leaving hundreds of thousands of military families without an in-network pharmacy. In a recent hearing , Senator Warren pressed Assistant Secretary Bass to commit to conducting annual audits of TRICARE’s pharmacy contract and providing Congress with the difference in reimbursement rates, fees, and other price concessions for Express Scripts-owned pharmacies and their competitors in the network. Bass agreed, but with no particular timeline in place. “You gave me your commitment that you would do so. I appreciate your prompt attention to this matter and request that you provide my office with all relevant and pertinen

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