Latest Updates

  • GNP, Elevate, and AB Specialty GPOs Successfully Advocate for PBM Reform Legislation in Michigan

    Feb 28, 2022
    This important legislation, which is slated to go into effect January 1, 2024, establishes much needed protections for community and independent pharmacists, as well as specialty physicians practicing in Michigan.
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  • NCPA urges members to write CMS re Part D – DIR fees proposed rule

    Feb 14, 2022
    Independent pharmacists – please take action today! NCPA recently provided its members with an adaptable template letter to CMS, urging the agency to revise its proposed Medicare Advantage / Part D rule to more accurately reflect real-world conditions in terms of negotiate price and DIR fees.
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  • Understanding PSAOs in our fight against Omicron

    Jan 28, 2022
    Knowing the role community and small chain pharmacies play for patients across Maryland and the country, pharmacy services administrative organizations (PSAOs) likewise continue stepping up to the plate. As administrative intermediaries, PSAOs were created to help small, community pharmacies navigate the ever-changing, ultra-competitive pharmacy reimbursement landscape. Now, more than ever, their roles are critically important to the livelihood of the pharmacy community.
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  • CMS Proposes Regulation to Reform DIR fees

    Jan 10, 2022
    On January 6, CMS issued a proposed rule that would reduce unpredictability for pharmacies created by PBMs and health plans taking post point of sale “clawbacks” of uncertain amounts up to several months after the pharmacy counter transactions.
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  • Positive news on DIR fee reform

    Dec 17, 2021
    CMS Administrator Brooks-LaSure committed that CMS will use its regulatory authority to address DIR post-claim-adjudication fees imposed by PBMs upon pharmacies and providers.
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