In addition to the letter sent by pharmacy organizations to Congress, another letter led by Sens. James Lankford (R-Okla.) and Mark Warner (D-Va.) in support of PBM reform is circulating in the Senate. It urges the chamber’s leadership to finalize the PBM provisions that have moved through the Senate Finance and Senate HELP committees with overwhelming bipartisan support in a year-end legislative package. Please take a moment to contact your senators and urge them to sign onto the letter.
These provisions include:
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Improved pharmacy payments in Medicaid managed care programs by requiring a national standard for PBMs to reimburse NADAC plus the state’s fee-for-service dispensing fee for all Medicaid managed care prescriptions. This provision would improve pharmacy reimbursements in over 30 states that have Medicaid managed care, as well as enshrine protection for the few states that have already acted.
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Requiring CMS to establish reasonable and relevant Medicare Part D PBM contract terms, including pharmacy reimbursements, and create a role where pharmacies can dispute PBM contracts allowing CMS to then impose penalties on PBMs.
We also need you to keep engaging your patients in the 10 to Win initiative by following these simple steps:
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Click campaign resources
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Select a poster to print and display in your pharmacy
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Ask your patients to scan the QR code on the poster and enter the requested information support your pharmacy
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Have them click the submit letters link to complete their action
