February 9, 2026: Washington, DC – Today, the National Consumers League (NCL) applauds the Federal Trade Commission (FTC) for securing a landmark settlement with one of the nation’s largest pharmacy benefit managers (PBMs), Express Scripts, Inc., and its affiliated entities. The settlement requires Express Scripts to make significant changes to its business practices that will, among other things, increase transparency, base patients’ out-of-pocket expenses on the drug’s net cost rather than the artificially inflated list price, and increase fairness in community pharmacy reimbursement.