Hoey demands action after eye-popping budget report shows runaway increase in pharmacy DIR fees NCPA June 3, 2021
ALEXANDRIA, Va. (June 3, 2021) The CEO of the country’s largest organization of community pharmacies today called for immediate action after the Centers for Medicare & Medicaid Services disclosed in a budget document that pharmacy benefit managers increased retroactive fees on pharmacies by an astonishing 91,500 percent in recent years.
“This is absolutely unsustainable,” said B. Douglas Hoey, CEO of the National Community Pharmacists Association, which represents more than 21,000 independently owned pharmacies across the country.
Pharmacy benefit managers are companies hired by insurance plans, like Medicare, Medicaid, and private insurers, to administer prescription drug benefits. They determine which drugs are covered by insurance, which pharmacies patients must use, and how much pharmacies are reimbursed for th
APhA Joins NCPA Suit Against Backdoor Pharmacy Fees
Litigation aims to overturn HHS rules allowing pharmacy benefit managers to wring fees out of pharmacies and consumers long after the point of sale
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WASHINGTON, April 29, 2021 /PRNewswire/ The American Pharmacists Association (APhA) today joined the National Community Pharmacists Association (NCPA) as an equal partner in a federal lawsuit challenging a confusing scheme of retroactive fees imposed on pharmacies and, indirectly, their patients. HHS has acknowledged on multiple occasions that retroactive pharmacy DIR fees inflict harm on pharmacies and increase costs for their patients, but it has repeatedly neglected to address the problem, said APhA Executive Vice President and CEO Scott J. Knoer, MS, PharmD, FASHP. This lawsuit puts pharmacy in the driver s seat. We demand that HHS meet its obligations and use its authority to stop PBMs from operating without accounta
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