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Opioid Settlements Shift to State Funds | Charleston News

West Virginia’s Attorney General just flipped the script on opioid settlement money—no more funneling 72.5% into the West Virginia First Foundation. Now, future payouts from lawsuits targeting Pharmacy Benefit Managers will go straight to the state’s general fund, giving lawmakers direct control over how recovery funds are spent. This shift reflects a changing legal landscape, as new cases focus on PBMs—the profit-driven middlemen who allegedly fueled the crisis by negotiating rebates and profiting from over-prescription. While past settlements still flood the foundation with $250M–$350M…

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