FAQ: Midwest Employer Pharma-Funds Recovery Drive
Summary
Superior Insurance Advisors has launched a Midwest-wide initiative to help employers, municipalities, and benefit trusts claim refunds from the DOJ's $600 billion Pharma Overcharge Recovery Fund for inflated drug costs. This effort addresses systematic overpricing by pharmaceutical manufacturers and PBMs, with claim deadlines of November 15, 2025 for generics and January 15, 2026 for insulin.
What is the Midwest-wide Employer Pharma-Funds Recovery Drive?
It’s a large-scale initiative by Superior Insurance Advisors to help employers, municipalities, and benefit trusts claim their share of the Department of Justice’s $600 billion Pharma Overcharge Recovery Fund for overcharged drug payments.
Why was this recovery drive launched?
The drive addresses systematic overpricing, pharmacy-benefit collusion, and misaligned incentives that have plagued the healthcare system, allowing employers to recover excess payments made over more than a decade.
Who is leading this initiative?
The effort is spearheaded by Paul H. Flowers Jr., a nationally recognized fiduciary-certified healthcare advisor and three-time best-selling author.
Which organizations are eligible to file claims?
Self-insured employers, unions, municipal plans, and benefit trusts can submit claims for reimbursement of excess drug payments.
What are the claim deadlines?
The cutoff for generic medication claims is November 15, 2025, and the deadline for insulin-related claims is January 15, 2026.
Which companies are alleged to have inflated drug prices?
The lawsuits allege that major pharmaceutical manufacturers and PBMs including Prime Therapeutics (Blue Cross), Optum (United Healthcare), CVS Caremark (Aetna), and Express Scripts (Cigna) systematically inflated prices.
What support is available for employers filing claims?
Superior Insurance Advisors is hosting open-access workshops in partnership with Life Health & Legal Education Partners (LHALEP) to educate CFOs, HR leaders, and municipal administrators on claim eligibility, data collection, and filing strategies.
Where is this initiative primarily focused?
The recovery drive is Midwest-wide, with Gary, Indiana positioned as a regional hub for healthcare accountability and multi-state cooperation across the Midwest.
Who should employers contact for more information?
Media professionals and interested parties can contact Paul H. Flowers Jr. at phone: 844-513-5433 or email: [email protected] for interviews and additional information.
What legal teams are supporting the recovery efforts?
National legal teams including Hagens Berman Sobol Shapiro LLP, Keller Rohrback LLP, and Pearl Logic LLC are supporting the recovery efforts.
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