tci Medicare Compliance & Reimbursement - 2007 Issue 30

PHARMACIES: New Bill Brings Hope For PBM Reforms

Kickbacks are one concern.Stay tuned this summer for developments in a new effort to level the playing field between pharmacies and pharmacy benefit managers (PBMs).More than 50 community pharmacists in Vermont have signed and sent a letter to Senate Judiciary Chairman Patrick Leahy (D-VT) urging him to take legislative action to revamp the nature of PBMs.PBMs, largely unregulated, control 80 percent of the drug coverage in the United States, giving them a big competitive edge over retail pharmacies.The move is essential to the survival of the nation's 24,000 independent community pharmacies, including 87 pharmacies...

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