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USA TODAY WASHINGTON ― The Supreme Court ruled unanimously Thursday that states can regulate pharmacy benefit managers, the prescription drug middlemen  whose actions affect 250 million Americans. The ruling is a victory for 45 states, led by Arkansas, and independent pharmacies that sought to stop so-called PBMs, which process prescription drug claims and then reimburse pharmacies, from keeping reimbursement rates low for generic drugs. That has caused thousands of independent pharmacies to close, particularly in rural areas. The case, which was argued in October, garnered little attention compared to the major health care dispute over the Affordable Care Act that the high court heard in November. That case ― in which a coalition of states led by Texas seeks to have the law declared unconstitutional because Congress eliminated the tax penalty intended to enforce insurance coverage ― isn t likely to be decided until the spring.

United statesJustice john robertsJustice amy coney barrettJustice sonia sotomayorSupreme courtCare management associationUs courtAffordable care actAssociate justice amy coney barrettAssociate justice soniaPharmaceutical care management associationExpress scriptsEmployee retirement income security actChief justice john robertsஒன்றுபட்டது மாநிலங்களில்நீதி ஜான் ராபர்ட்ஸ்