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PulseReporter > Blog > Investigations > Walgreens, Optum Rx sued over loss of life; mother and father cite drug value
Investigations

Walgreens, Optum Rx sued over loss of life; mother and father cite drug value

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Last updated: February 5, 2025 11:11 pm
Pulse Reporter 4 months ago
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Walgreens, Optum Rx sued over loss of life; mother and father cite drug value
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Studying Time: 2 minutes

A Wisconsin couple is suing Walgreens and a pharmacy advantages administration firm, alleging that their son died as a result of he couldn’t afford a sudden $500 spike in his bronchial asthma medicine.

Shanon and William Schmidtknecht of Poynette filed their lawsuit in federal court docket in Milwaukee on Jan. 21, a 12 months to the day that their son Cole died at age 22.

In keeping with the lawsuit, Cole Schmidtknecht suffered from bronchial asthma all his life. He managed it with day by day inhaler doses of the medicine Advair Diskus and its generic equivalents.

He stopped at a Walgreens pharmacy in Appleton on Jan. 10, 2024, to refill his prescription and was informed the fee had jumped from $66 to $539 out-of-pocket. Unable to afford the brand new value, he left the pharmacy with out the medicine. He tried to handle his situation together with his rescue inhaler however suffered a deadly bronchial asthma assault days later, in accordance with the lawsuit.

The Schmidtknechts allege that pharmacy advantages administration firm OptumRX violated Wisconsin legislation by elevating the price of the medicine with out a legitimate medical motive and failing to supply 30 days’ advance discover of drug worth will increase.

Pharmacy advantages managers act as intermediaries between medical health insurance firms, prescription drug firms and pharmacies. Optum Rx companies prescription claims for greater than 66 million individuals throughout the USA, in accordance with the lawsuit.

The lawsuit alleges that the Walgreens pharmacy staffers failed to supply Cole any workarounds to acquire his common medicine. They informed him there have been no cheaper alternate options or generic drugs obtainable, they didn’t contact OptumRx to request an exception on Cole’s behalf, and so they didn’t ask Cole’s physician to request an exception for him, his mother and father contend.

The lawsuit seeks unspecified damages.


Has Tammy Baldwin taken steps to lower prescription drug prices?

Sure. U.S. Sen. Tammy Baldwin, D-Wis., has backed efforts to scale back prescription drug costs.


“The conduct of each OptumRx and Walgreens was deplorable,” one of many household’s attorneys, Michael Trunk, stated in a press release. “The proof on this case will present that each OptumRx and Walgreens put income first, and are instantly chargeable for Cole’s loss of life.”

OptumRx spokespeople didn’t instantly reply to Wednesday messages looking for remark. In a press release final April extending sympathy to the household, the corporate stated {that a} assessment of Cole’s claims confirmed that on the day he visited the pharmacy, he did purchase a special bronchial asthma medicine, generic Albuterol, for a $5 co-pay on Jan. 10 — a drugs that it says he additionally obtained in October 2023. His case was dealt with “in step with business apply and the affected person’s insurance coverage plan design,” the corporate stated.

Trunk, although, stated Wednesday that the $5 generic prescription Cole stuffed was for his rescue inhaler, not the Advair Diskus inhaler that he took day by day. He stated Cole was not in a position to fill his Advair Diskus prescription as a result of it had immediately turn into too costly.

Walgreens officers didn’t instantly reply to a Wednesday e mail looking for touch upon the lawsuit.

Wisconsin Watch is a nonprofit and nonpartisan newsroom. Subscribe to our publication to get our investigative tales and Friday information roundup. This story is printed in partnership with The Related Press.

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