Pharmacies, PBMs at Odds over Proposed Change to Part D Contracting Rule
Member Lauren Moldawer was quoted by Healthcare Brew on how pharmacy benefit managers (PBMs) are reacting to a proposed change to the Medicare Part D Program. This change would allow pharmacies to terminate contracts without cause and without permission from the PBM, which Lauren said could create uncertainty for PBMs.
She says, “In negotiations between the [Part D] plan and PBM, the more administrative tasks the PBM has, [the more] they charge the plan. They could use it to leverage more money from the plans on their administrative fees, and then that could increase costs.”
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