Protecting access to community pharmacy in Florida’s Medicaid program

NCPA June 27, 2022

NCPA submitted a response to the Florida Agency for Health Care Administration’s request for information on ways to improve the Medicaid managed care program. NCPA’s comments focused on innovative ways to protect patient access to community pharmacist services, which was a topic highlighted by the RFI. NCPA pointed out that Florida can protect that access by doing one or more of the following: addressing patient steering, requiring MCOs/PBMs to adopt transparent reimbursement methodologies, administering pharmacy benefits through the fee-for-service program, or implementing a “single PBM” model.