Penalty Amount
$900,000,000
Consumer protection case: Oregon Attorney General filed a lawsuit against six major drug companies and pharmacy benefit managers for allegedly coordinating to inflate insulin prices, seeking $900 million in damages under the Unlawful Trade Practices Act.
The lawsuit seeks an injunction to stop the alleged scheme, restitution for consumers, disgorgement of profits, and $900 million in damages.
In-house legal teams should review vendor agreements between pharmaceutical manufacturers and pharmacy benefit managers (PBMs), as well as customer agreements with health plans, insurers, and pharmacies. Key clauses to examine include rebate calculation and payment terms, formulary inclusion/exclusion criteria, exclusivity or loyalty provisions, pricing transparency requirements, and audit rights. Changes may be needed to decouple rebates from list prices, ensure lower-cost insulin options are not excluded from formularies, enhance pricing disclosures, and include explicit compliance with antitrust laws to prevent coordinated price inflation.
Entity
Novo Nordisk, Sanofi, Eli Lilly, Express Scripts, CVS Caremark, Optum
Industry
HealthcareOfficial Press Release
https://www.doj.state.or.us/media-home/news-media-releases/ag-rayfield-files-lawsuit-seeking-900-million-over-skyrocketing-insulin-prices/
20260107 OR AGO Insulin Complaint FINAL
https://www.doj.state.or.us/wp-content/uploads/2026/01/20260107-OR-AGO-Insulin-Complaint-FINAL.pdf
Oregon Attorney General Enforcement Page
https://www.doj.state.or.us/consumer-protection/
"three insulin manufacturers—Novo Nordisk, Sanofi, and Eli Lilly—and three pharmacy benefit managers—Express Scripts, CVS Caremark, and Optum."
"seeking $900 million dollars in damages"
"violations of Oregon’s Unlawful Trade Practices Act"
"worked together in a coordinated scheme to artificially inflate the price of insulin"
Oregon Attorney General Dan Rayfield, leading a bipartisan coalition of 48 other state and territorial attorneys general, sent a letter urging the FCC to strengthen its 'Know Your Upstream Provider' (KYUP) rule so phone companies must properly vet, continuously monitor, and cut ties with upstream providers that facilitate illegal robocalls and caller ID spoofing. The coalition asks the FCC to set minimum vetting standards, require periodic re-checks rather than one-time contract reviews, strengthen caller ID authentication across the call chain, impose meaningful penalties, and mandate record-keeping for investigators. No fine or injunction was imposed; the letter notes Americans received more than 29.6 billion scam robocalls and texts last year and lost nearly $2 billion to these scams.
Attorney General Dan Rayfield and a coalition of 21 attorneys general and Pennsylvania filed lawsuits against the U.S. Department of Transportation, FMCSA, and AAMVA to block demands for a database containing personal information of 17 million commercial drivers. The federal government threatened to withhold $10 million in funding unless the data was turned over, which the coalition argues violates privacy law.
Oregon Attorney General Dan Rayfield co-led a coalition of 10 states in a federal lawsuit against the Office of the Comptroller of the Currency (OCC) to block a rule that invalidates state laws requiring mortgage lenders to pay interest on escrow accounts. The lawsuit argues the OCC's rule oversteps federal authority, gives national banks a competitive advantage over state-chartered banks, and takes money away from homeowners.
A federal judge ruled that Nexstar Media Group violated a court order requiring it to keep TEGNA Inc. operating as an independent company while a multistate antitrust lawsuit challenging the merger proceeds. The court found that Nexstar installed its own executives on TEGNA's board, failed to disclose the appointments, and lacked candor with the court. The court ordered Nexstar to comply immediately, file status reports, respond to discovery, and turn over board and financial documents, with a special master to oversee compliance.
Oregon Attorney General Dan Rayfield, joined by a coalition of 23 other states, the District of Columbia, and two governors, sued the Trump administration to block a new policy by the Administration for Children and Families (ACF) that would allow federal officials to access private records of millions of TANF recipients. The coalition argues the policy illegally shares sensitive personal data, including Social Security numbers and immigration status, with other federal agencies and private organizations, violating the Administrative Procedure Act and the Spending Clause. The lawsuit seeks to declare the policy illegal and block it from taking effect.
Attorney General Dan Rayfield and 49 other state attorneys general sent a letter to the FCC urging stronger 'Know Your Customer' rules to combat illegal robocalls. The coalition requests that phone companies verify customer identities and business practices to prevent scammers from using the network. The letter is part of Phase 2 of Operation Robocall Roundup.