Reimbursement

NACDS, WSPA, NCPA File Lawsuit to Stop Unlawful Medicaid Rule that May Harm Patient Access to Care in Washington State Pharmacy groups file complaint, urge federal Centers for Medicare & Medicaid Services to reverse the approval of a state plan that unlawfully reimburses pharmacies below the actual cost of dispensing prescriptions to Medicaid patients

admin2021-05-03T17:20:32-04:00Categories: Press Release|Tags: Medicaid, Reimbursement, States|

Pharmacy groups file complaint, urge federal Centers for Medicare & Medicaid Services to reverse the approval of a state plan that unlawfully reimburses pharmacies below the actual cost of dispensing prescriptions to Medicaid patients.

NACDS Leadership Kicks Off 2021 NACDS Annual Meeting with Emphasis on the Powerful Role of Industry in Restoring Hope, Overcoming the COVID Pandemic, and Building the Future Keyes: “We’ve shown what pharmacy can do when we work together … We will continue to serve, treat and heal the people of our country through this pandemic, and into the future”

admin2021-04-26T11:06:38-04:00Categories: Press Release|Tags: Annual_Meeting, Conferences, DIR, Pharmacy_Value, Preparedness, Reimbursement, Vaccinations|

Keyes: “We’ve shown what pharmacy can do when we work together … We will continue to serve, treat and heal the people of our country through this pandemic, and into the future.”

NACDS Regional Chain Conference Underscores Resilience, Commitment, Community-Focus of Retail Pharmacy Throughout COVID Pandemic Virtual event brings together traditional drug and grocery chains with between four and 250 locations, and their supplier partners; features insights and collaboration on diverse health-and-wellness and front-end topics

admin2021-02-10T12:03:48-05:00Categories: Press Release|Tags: Conferences, DIR, Drug_Abuse, Pharmacy_Value, Preparedness, Regional_Chain_Conference, Reimbursement|

Virtual event brings together traditional drug and grocery chains with between four and 250 locations, and their supplier partners; features insights and collaboration on diverse health-and-wellness and front-end topics.

NACDS Welcomes Landmark Supreme Court Decision on Rutledge, Upholding Arkansas’ Move to Regulate PBMs NACDS: Ruling also is extremely significant for the residents of approximately 40 other states that have enacted similar laws

admin2020-12-10T12:37:01-05:00Categories: Press Release|Tags: Legal, PBM, Reimbursement|

NACDS notes that the Supreme Court's ruling also is extremely significant for the residents of approximately 40 other states that have enacted similar laws.

In a Victory for Patient Access, Administrative Judge Deals Further Blow to Washington State’s Below-Cost Medicaid Pharmacy Reimbursement Plan Pharmacy groups urge federal Centers for Medicare & Medicaid Services to take final action to reject plan, in accordance with Administrative Law Judge’s decision

admin2020-11-24T09:01:05-05:00Categories: Press Release|Tags: Medicaid, Reimbursement, States|

Following the Administrative Law Judge's decision, NACDS, the Washington State Pharmacy Association, and the National Community Pharmacists Association urged the Centers for Medicare & Medicaid Services to bring to an end Washington State’s flawed pharmacy reimbursement plan.

NACDS Asks CMS to Fix State Calculations That Make Medicaid Pharmacy Reimbursement Even Worse Using discount-card drug prices in tally of “usual and customary” pharmacy charges is not lawful, wrongly depresses payments to pharmacies, and ultimately could harm patients

admin2020-08-12T18:34:15-04:00Categories: Press Release|Tags: CMS, Medications, Reimbursement|

NACDS says using discount-card drug prices in tally of “usual and customary” pharmacy charges is not lawful, wrongly depresses payments to pharmacies, and ultimately could harm patients: "For consumers on tight budgets who rely on third-party discount cards to pay for their medications, the potential loss of access to these discounted medications would be devastating.”

More than 240 Patient, Healthcare Groups Urge Congress to Reform Pharmacy “DIR Fees” This Year Congress “should not overlook the clear and present opportunity” to address reforms

admin2020-05-08T14:24:07-04:00Categories: Press Release|Tags: Congress, DIR, Reimbursement|

More than 240 entities urged Congressional leaders to act on a key reform to lower patients’ prescription drug prices at the pharmacy counter and to help prevent pharmacy closures that jeopardize access.

New Indiana Law Vital for Patient Access and Pharmacy Viability, NACDS Says

admin2020-03-26T14:58:16-04:00Categories: Press Release|Tags: Reimbursement, States|

With the enactment of a new law – Senate Bill 241 – Indiana has made great strides to help protect the viability of pharmacies in neighborhoods across the state. The legislation will help ensure that pharmacies are more fairly and properly reimbursed by requiring payers’ pharmacy contracts to have clearly defined drug pricing and reimbursement methodologies and audit practices.

This new law, signed by Gov. Eric Holcomb (R), also prevents payers from retroactively denying pharmacies’ claims for prescriptions that were dispensed, and allows pharmacies to contest changes in their reimbursement. The legislation also requires the maintenance of adequate pharmacy networks and provides beneficiaries with equal access to all network pharmacies.

“Work on this important bill has been underway since well before COVID-19, yet the pandemic shows just how critical it is to maintain pharmacy viability. Pharmacies and pharmacists are on the front lines of healthcare in neighborhoods throughout Indiana and across the country. Access to pharmacies is critical as the COVID-19 pandemic is creating unprecedented stresses on our healthcare system across the nation,” said NACDS President and CEO Steven C. Anderson, IOM, CAE. “This newly enacted law will help patients throughout Indiana continue to receive care from the pharmacy of their choice – which is important at all times and certainly during an emergency.”

NACDS recognizes the legislative leadership of the bill’s primary sponsor, State Senator Liz Brown (R); the House sponsor, State Representative Matt Lehman (R); author and Chair of the Senate Health and Provider Services Committee, State Senator Ed Charbonneau (R); Chair of the House Insurance Committee, State Representative Martin Carbaugh (R); and the distinguished Conference Committee Conferees and Advisors, including two pharmacist legislators: co-author State Senator Ron Grooms (R) and co-sponsor State Representative Steven Davisson (R).

NACDS also acknowledges the leadership of the Indiana Pharmacists Association and NACDS member companies.

Pharmacy Reimbursement Modernization Needed, Report Says NACDS, NCPA and NASP say patient access and fairness to pharmacies merit the attention of policymakers. Their study shows that pharmacies’ cost of dispensing Medicaid prescriptions exceeds the dispensing fee paid by 46 of 47 states. Of note, this is the first national study to evaluate the costs of dispensing specialty drugs.

admin2020-03-03T09:45:42-05:00Categories: Press Release|Tags: Reimbursement|

Pharmacy reimbursement paid by state Medicaid programs requires a fresh look and modernization, according to a new Cost of Dispensing Study commissioned by the National Association of Chain Drug Stores (NACDS), the National Community Pharmacists Association (NCPA) and the National Association of Specialty Pharmacy (NASP).

NACDS: U.S. Supreme Court Precedents Side with Arkansas Move to Regulate PBMs Brief argues for maintaining Supreme Court precedents, reversing Circuit Court decision, and upholding Arkansas law vital for patients, pharmacies

admin2020-03-02T12:54:19-05:00Categories: Press Release|Tags: Legal, Reimbursement|

Brief argues for maintaining Supreme Court precedents, reversing Circuit Court decision, and upholding Arkansas law vital for patients, pharmacies

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