Navigation Links
PCMA: New Drugstore Lobby Bill Would Increase Prescription Drug Costs
Date:3/6/2017

WASHINGTON, March 6, 2017 /PRNewswire-USNewswire/ -- Legislation championed by the various special interest drugstore lobbies (H.R. 1316, The Prescription Drug Price Transparency Act) and introduced by Reps. Doug Collins (R-Ga.) and Dave Loebsack (D-Iowa), would increase the cost of prescription drugs in federal health programs, including TRICARE and the Federal Employee Health Benefits Plan, the Pharmaceutical Care Management Association (PCMA) said today.

The proposed government mandate would gut the use of Maximum Allowable Cost (MAC) lists, which are a key cost-control reimbursement strategy used to ensure consumers – and the federal government – don't overpay for generic drugs.  MAC lists are the maximum amount a health plan will reimburse drugstores for generic drugs, based on prevailing market conditions. In contract negotiations, drugstores that agree to join a plan's network accept the drug plan's MAC lists (along with dispensing fees) as reimbursement for generics. MAC lists are widely used. Forty-five state Medicaid programs now use MAC lists, up from 26 states in 1999.

Moreover, the Government Accountability Office (GAO) has reported that most independent drugstores already hire powerful Pharmacy Service Administrative Organizations (PSAOs) to collectively bargain on their behalf with pharmacy benefit managers (PBMs) and other payers. The contract provisions that PSAOs negotiate include reimbursement rates, payment terms, and audits of pharmacies.

The bill would also increase costs and risk patient safety by undermining the use of mail-service pharmacies for those with chronic conditions like high blood pressure and rheumatoid arthritis.

"Now is not the time for new government mandates that raise prescription drug costs and undermine competition," said PCMA President Mark Merritt.

The following research overwhelmingly shows MAC lists reduce drug costs: 

  • A  Health and Human Services Office of Inspector General (OIG) report noted "the significant value MAC programs have in containing Medicaid drug costs." The OIG also recommended that states strengthen MAC programs, not weaken them.
  • A white paper, by a Federal Trade Commission expert, notes that "legislative or regulatory measures that limit, restrict, or interfere with MACs are likely to have several unintended adverse consequences," including higher prices and tacit collusion among pharmacies.
  • A Visante analysis of more than 800 drugs likely to be impacted by legislation restricting the use of MACs found that MAC legislation could increase costs by 31% to 56% for affected generic prescriptions.

PCMA is the national association representing America's pharmacy benefit managers (PBMs). PBMs administer prescription drug plans for more than 266 million Americans who have health insurance from a variety of sponsors including: commercial health plans, self-insured employer plans, union plans, Medicare Part D plans, the Federal Employees Health Benefits Program (FEHBP), state government employee plans, Medicaid plans, and others.

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/pcma-new-drugstore-lobby-bill-would-increase-prescription-drug-costs-300418437.html


'/>"/>
SOURCE Pharmaceutical Care Management Association (PCMA)
Copyright©2017 PR Newswire.
All rights reserved


Related medicine technology :

1. PCMA: Medicare Trustees Report Shows PBMs are Delivering Savings in Part D
2. PCMA: New Analysis Shows Alabama Can Reduce Medicaid Pharmacy Waste by $513 Million
3. PCMA: Eight Ways to Reduce Federal Health Spending and Improve Prescription Drug Benefits in Medicare and Medicaid
4. PCMA: CMS Analysis Shows Mail-Service Pharmacies More Affordable Than Drugstores
5. PCMA: New Study Confirms $217 Billion in Savings from Generic Medications in 2012
6. PCMA: Medicare Part D 2015 Premiums Remain Flat
7. PCMA: New OIG Report Cites Drug Manufacturer "Copay Coupon" Use in Medicare Part D
8. PCMA: How Congress Can Fight Prescription Drug Fraud and Abuse
9. PCMA: Lower Cost, Preferred Pharmacies Popular with Seniors in Medicare Part D
10. PCMA: Drugstore Lobby "Any Willing Pharmacy" Bill Would Increase Costs by $21 Billion
11. PCMA: Report Shows High-Tech Specialty and Mail-Service Pharmacies Will Reduce Costs for New York Employers, Consumers and Public Programs by $23 Billion
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/16/2019)... ... , ... Sacramento-based physician recruiting firm, MDstaffers , was named as the ... three-year growth of more than 5,600 percent made it the 6th fastest growing health ... it competed in this category. This news comes nine-years after MDstaffers was founded and ...
(Date:8/16/2019)... ... August 16, 2019 , ... Gainesville Dental Group , ... family dental practice that serves the Gainesville community with an extensive menu of ... and restorative dental care. The well-established practice is led by a team of ...
(Date:8/16/2019)... ... August 16, 2019 , ... Inc. magazine today revealed that ... most prestigious ranking of the nation’s fastest-growing private companies. The list represents a ... segment—its independent small businesses. Microsoft, Dell, Domino’s Pizza, Pandora, Timberland, LinkedIn, Yelp, Zillow, ...
Breaking Medicine Technology:
(Date:8/19/2019)... (PRWEB) , ... August 19, 2019 , ... ... than 12.5 million medically necessary and cosmetic procedures in 2018 – 7.5 percent ... its seventh year, the 2018 ASDS Survey on Dermatologic Procedures revealed ...
(Date:8/19/2019)... , ... August 19, 2019 , ... A July 26 ... dog owners should be brushing their pets’ teeth twice a day. The acknowledges that, ... the time and suggests that close monitoring and brushing at least twice a week ...
(Date:8/17/2019)... ... August 17, 2019 , ... Approximately 50 ... care services today under a program sponsored by United Concordia Dental and Mission ... to work alongside them to make these services available to area youths who ...
(Date:8/16/2019)... ... August 16, 2019 , ... ... pharmaceutical and non-pharmaceutical cannabidiol (CBD) products across the CBD market in the United ... its crowdfunding campaign to raise $50 million on September 9, 2019. , Established ...
(Date:8/16/2019)... ... August 16, 2019 , ... Tim ... throughout the Mid-Atlantic and North East at the 2019 Safety Academy sponsored through ... build on existing construction safety concepts and define not only a safety program ...
Breaking Medicine News(10 mins):