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Drummond Today
By the People, for the People
Oklahoma AG Leads Push for Drug Pricing Transparency
Coalition of 45 state AGs urges new federal rules to require PBMs to disclose pricing details.
Apr. 16, 2026 at 1:25am
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As calls for transparency in prescription drug pricing grow, a neon-lit outline of a medication capsule reflects the opacity and complexity of the pharmaceutical supply chain.Drummond TodayOklahoma Attorney General Gentner Drummond is leading a coalition of 45 state attorneys general in calling on the U.S. Department of Labor to implement new rules that would require pharmacy benefit managers (PBMs) to disclose how they set drug prices and generate revenue. The coalition argues that employers and consumers deserve to understand why prescription drug costs are rising.
Why it matters
PBMs play a significant role in the prescription drug market, handling around 80% of all claims nationwide. However, critics say employers often lack visibility into how PBMs determine drug prices and costs. The proposed federal rules aim to increase transparency and allow employers to better audit PBM practices.
The details
The coalition is urging the Department of Labor to require PBMs to report revenue details twice a year and allow employers to audit their pricing practices. The group is also asking federal regulators to clarify that the new rules would not override existing state laws and to coordinate enforcement efforts with state attorneys general. Drummond's office has taken separate action at the state level, including investigations into PBM practices and a $32 million settlement tied to the state employee health plan.
- The coalition submitted its request to the Department of Labor in April 2026.
The players
Gentner Drummond
The Attorney General of Oklahoma who is leading the coalition of 45 state attorneys general pushing for the new federal rules.
U.S. Department of Labor
The federal agency that the coalition is urging to implement new rules requiring pharmacy benefit managers (PBMs) to disclose pricing details.
Pharmacy Benefit Managers (PBMs)
Companies that manage prescription drug benefits for insurers and employer health plans, but have faced criticism for lack of transparency in how they set drug prices.
What they’re saying
“When Oklahomans and their employers are paying more for prescription drugs, they deserve to understand why.”
— Gentner Drummond, Oklahoma Attorney General
What’s next
The Department of Labor will review the coalition's request and determine whether to implement the proposed new rules on PBM pricing transparency.
The takeaway
This push for greater transparency in prescription drug pricing reflects growing concerns about the role of pharmacy benefit managers in driving up costs for consumers and employers. The outcome of this effort could have significant implications for the pharmaceutical industry and healthcare costs nationwide.
