Auditor General Eugene DePasquale on Dec. 11 released a special report calling for action to reduce Medicaid prescription costs by increasing the transparency of how pharmacy benefit managers (PBMs) do business.

Speaking in Lancaster, DePasquale said that in 2017, Pennsylvania taxpayers paid $2.86 billion to PBMs for Medicaid enrollees, according to the state Department of Human Services. That marked an increase of 100 percent in just four years, up from $1.41 billion in 2013.