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Tag: PBMs


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NCPA launches PBM push

September 15, 2021HME News Staff

ALEXANDRIA, Va. - The National Community Pharmacists Association has launched a three-day ad blitz aimed at pushing Congress to end the practice of pharmacy benefit managers that pocket savings intended for senior citizens and drive local pharmacies out of business. The ad, titled “You Should Know,” shows how PBMs negotiate discounts on expensive pharmaceuticals and then keep a chunk of the savings instead of passing it on to consumers. The ad also points out how the same PBMs steer patients...

National Community Pharmacists Association, PBMs


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NCPA goes on record on PBM games

July 15, 2021HME News Staff

ALEXANDRIA, Va. – The National Community Pharmacists Association, as part of a congressional hearing on Tuesday, submitted a statement on the record pushing the Senate Judiciary Subcommittee on Competition Policy, Antitrust and Consumer Rights to scrutinize the role of vertically integrated for-profit companies that have affiliated with pharmacy benefit managers. “The ability of PBMs to game the system not only results in the closure of pharmacies in rural and underserved communities...

National Community Pharmacists Association, NCPA, PBMs, Pharmacy benefit managers


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NCPA weighs in on legislation 

May 20, 2021HME News Staff

ALEXANDRIA, Va. – The National Community Pharmacists Association supports a bill in the New York state legislature that would require reimbursement to be no lower than the Medicaid fee-for-service program. Under the proposed bill, SB 6603, what a PBM reimburses pharmacies must be based on the national average drug acquisition cost (NADAC) - a simple average of the drug acquisition costs submitted by pharmacies - plus a professional dispensing fee. The professional dispensing fee is established...

National Community Pharmacists Association, PBMs


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Doug Hoey

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NCPA backs bill to reform PBM market

May 4, 2021HME News Staff

ALEXANDRIA, Va. – The National Community Pharmacists Association supports legislation reintroduced by Sens. Chuck Grassley, R-Iowa, and Maria Cantwell, D-Wash., that would require the Federal Trade Commission to study the role and recent merger activity of pharmacy benefit managers, including possible anticompetitive behavior. S. 1388, the Prescription Pricing for People Act, will bring more transparency into health care by addressing high drug costs and patient challenges, says B. Douglas...

National Community Pharmacist Association, NCPA, PBMs, Pharmacy benefit managers


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Doug Hoey

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NCPA backs bill on PBM reform

April 20, 2021HME News Staff

ALEXANDRIA, Va. – The National Community Pharmacists Association supports legislation that would give seniors more convenient access to discounted or “preferred” co-pays for prescription drugs at their pharmacy of choice. H.R. 2608, the Ensuring Seniors Access to Local Pharmacies Act, would also empower more seniors to choose the pharmacy that best fits their needs, promote transparency so that pharmacies have a clear understanding of their reimbursement, and tackle conflicts of...

Community Pharmacies, National Community Pharmacist Association, NCPA, PBMs, Pharmacy benefit managers, reform


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Doug Hoey

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NCPA says DIR fees threaten pharmacies

February 12, 2021Theresa Flaherty, Managing Editor

ALEXANDRIA, Va. – After failing to get relief on direct and indirect remuneration fees through legislative and regulatory pathways, the National Community Pharmacists Association says it was left no choice but to file a lawsuit to stop what it says is an “existential threat” to independent pharmacies.  The lawsuit, filed in January against the U.S. Department of Health and Human Services, states that the fees are without reasonable transparency,...

DIR fees, National Community Pharmacists Association, NCPA, PBMs


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NCPA launches public education campaign on threat of PBMs

February 11, 2021HME News Staff

ALEXANDRIA, Va. – The National Community Pharmacists Association is partnering with state pharmacy associations to educate the public, patients and policymakers on the largely unknown role played by pharmacy benefit managers, or PBMs, in raising drug costs, restricting patient access, and squashing local pharmacies, ultimately limiting consumer choices. “Access to pharmacies – essential businesses and health care providers – has never been more important than...

National Community Pharmacist Association, NCPA, PBMs


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NCPA seeks scrutiny of PBM partnership

October 23, 2020HME News Staff

ALEXANDRIA, Va. - The National Community Pharmacists Association says that a partnership between two pharmacy benefit managers will harm local pharmacies.In a letter to The National Association of Attorneys General, the NCPA asks for scrutiny of the partnership between Express Scripts and Prime Therapeutics.Express Scripts is owned by Cigna and controls prescriptions for 75 million people; Prime Therapeutics is owned by a consortium of Blue Cross Blue Shield companies and covers more than 30 million...

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UnitedHealth Group buys specialty pharmacy

December 12, 2019HME News Staff

EDEN PRAIRIE, Minn., and FLINT, Mich. - UnitedHealth Group's Optum division will pay about $300 million to buy Diplomat, a provider of specialty pharmacy and infusion services, according to news reports.Diplomat focuses on managing specialty medications, including oncology and immunology, and provides specialized infusion therapies in all 50 states and Washington, D.C.“With its focus in specialty and infusion services, Diplomat has a proven track record of solving the unique challenges facing...

Consolidation, Diplomat, M&A, Optum, PBMs, UnitedHealth Group


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NCPA testifies on 'undue influence' of PBMs

November 18, 2015HME News Staff

WASHINGTON - National Community Pharmacists Association President Bradley Arthur testified at a Nov. 17 hearing on the “disproportionate market power” of pharmacy benefit management corporations.Arthur told members of the House Judiciary Committee Subcommittee on Regulatory Reform, Commercial and Antitrust Law that PBMs have “undue influence” on patients, health plans sponsor and pharmacies.Arthur, a pharmacist, is co-owner of Black Rock Pharmacy and Brighton-Eggert Pharmacy...

Community Pharmacy, National Community Pharmacists Association, PBMs


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