On August 30, 2022, the Louisiana Department of Health (LDH) announced that Magellan Medicaid Administration (now owned by Centene Corporation) was awarded a single, statewide pharmacy benefit management (PBM) contract serving 1.8 million Medicaid managed care organization (MCO) enrollees as well as those in fee-for-service Medicaid. LDH currently contracts with Gainwell as PBM for FFS claims and the state’s five MCOs each contract with their own PBMs (three with CVS, one with PerformRx, and one with OptumRx). During state fiscal year 2020, the MCOs had annual total drug claim expenditures exceeding $1.7 billion for approximately . . .