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
APhA Joins NCPA Suit Against Backdoor Pharmacy Fees
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Cholesterol testing
Immunization screening and administration not currently covered by Medicare Part B and D
Tobacco cessation services
Transition of care services
The legislation does not expand scope of practice, but brings Medicare rules in alignment with existing authorities already granted to pharmacists by many states and health care organizations through credentialing and privileging programs.
Similar legislation, H.R. 2759, was introduced in the U.S. House last week by Rep. G.K. Butterfield (D-NC) and Rep. David McKinley (R-WV).
Pharmacists have advanced education and training to deliver these patient care services, but unlike many states in the nation, Medicare does not recognize and reimburse them for such services. Pharmacists earn a Doctor of Pharmacy (PharmD) degree that includes six years to eight years of higher education to complete. Many pharmacists also complete one to two years of post-graduate residency training and become certified in a specialty by t
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