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University of Texas Study Details Lengthy Payment Delays for Medicare Part D Prescription Drug Claims, Confirming Need for Legislative Fix
Date:9/6/2007

recess. Its prime sponsor is Sen. Max Baucus (D-Mont.), who is Chair of the Senate Finance Committee, which has jurisdiction over Medicare. H.R.1474 was introduced in March and recently reached the 200 cosponsors mark. Both bills require complete and accurate Part D prescription drug claims submitted electronically be paid within 14 days, and paper claims within 30 days.

"The wall of opposition from large PBMs speeding up their payments should crumble as a result of the University of Texas study," said Jim Martin, RPh, executive director and CEO of the Texas Pharmacy Association. "Either the PBMs change their payment habits or Congress will change it for them in the near future."

Richard Beck, RPh, vice president of pharmacy affairs for American Pharmacies, an independent pharmacy buying cooperative added, "The information I received in talking with pharmacists about the sluggish Part D payments has been overwhelming, now the University of Texas has provided the definitive study on the shameful practice PBMs have been allowed to get away with for much too long. The best way for all Medicare Part D recipients to get their medication is to make sure community pharmacies are paid on time."

To view the executive summary of University of Texas study, click on the following link:

http://www.ncpanet.org/pdf/leg/ut_study_exec_sum_090607.pdf.

The National Community Pharmacists Association, founded in 1898, represents the nation's community pharmacists, including the owners of more than 23,000 pharmacies. The nation's independent pharmacies, independent pharmacy franchises, and independent chains dispense nearly half of the nation's retail prescription medicines. To learn more go to http://www.ncpanet.org.


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SOURCE National Community Pharmacists Association
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