As information surfaced on February 27 that Congress is punting long-debated pharmacy profit supervisor reforms, the neighborhood pharmacy foyer demanded CMS instantly take enforcement motion in opposition to improper PBM practices that the foyer says may trigger almost a 3rd of impartial pharmacies to shutter this yr. […]
Jonathan Swichar, associate and chair of Duane Morris’ Pharmacy Litigation Group, alleged denying reimbursement and reimbursing at under value is a tactic utilized by PBMs to harm impartial pharmacies.
“It’s one of many many initiatives employed by pharmacy profit managers of the previous 10 years to remove the competitors impartial pharmacies pose to their very own affiliate pharmacies,” he mentioned. […]
[Swichar explained the last few years have been difficult for independent pharmacies because of increased demand for vaccines, especially becoming overwhelmed with individuals needing COVID-19 vaccines. Pharmacies sometimes were the only source for those vaccinations.
To meet demand, the independent pharmacies needed to hire additional staff members, adding a costly burden to pharmacies that are already sensitive to revenue.
“Unfortunately, while independent pharmacies have very much been asked to step up to the plate, and often act in a way that traditionally would have been the responsibility of a doctor’s office in terms of administering vaccines, one of the areas where pharmacy benefit managers have been most difficult, with regard to reimbursement, is the vaccinations that pharmacies have administered over the past few years,” he said. […]
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