Navigation Links
Poll: Over One Million Seniors Have Problems with Medicare 'Preferred Pharmacy' Drug Plans

ALEXANDRIA, Va., May 20, 2013 /PRNewswire-USNewswire/ -- National Community Pharmacists Association (NCPA) CEO B. Douglas Hoey , RPh, MBA issued the following statement today regarding a survey by Hart Research Associates regarding Medicare Part D "preferred pharmacy" drug plans, which often exclude independent community pharmacies from offering patients the plan's lowest advertised co-payments:


"Officials with Medicare and MedPAC, 16 U.S. Senators and more than 30 U.S. Representatives have all expressed concerns with Medicare preferred pharmacy drug plans and for good reason. They create access concerns for some patients and may be increasing costs for Medicare and taxpayers.

"First, in rural areas seniors in these plans may have to travel 20 miles or more to obtain their prescription drugs. Independent community pharmacists in these areas report that patients are repeatedly dealing with this barrier to obtaining their medications. Perhaps reflecting this problem, more than one million seniors are either very dissatisfied or somewhat dissatisfied with their preferred pharmacy Medicare drug plan[1].

"Second, Medicare and taxpayers may not realize any overall savings from these prescription drug plans (or PDPs). As Medicare said in its proposed 2014 call letter, 'We have begun to scrutinize Part D drug costs in PDPs with preferred networks, and comparing these to costs in the non-preferred networks, as well as to costs in PDPs without preferred networks. We are concerned because our initial results suggest that aggregate unit costs weighted by utilization (for the top 25 brand and top 25 generic drugs) may be higher in preferred networks than in non-preferred networks in some plans [emphasis added]. Combined with lower cost sharing, we believe these higher unit costs may violate the requirement not to increase payments to such plans.'

"An analysis by NCPA staff backs up Medicare's concerns. NCPA staff looked at four common drugs (generic version of Lipitor—atorvastatin calcium Tab 20mg 90 day supply; generic version of Plavix—clopidogrel Tab 75mg 90 day supply; Diovan—Tab 80mg 90 day supply; and Nexium—Cap 40mg 90 day supply) on Medicare's Plan Finder website. Looking at two large preferred pharmacy plans (AARP MedicareRx Preferred and Humana Walmart Preferred Rx), the cost of the drugs was compared between preferred pharmacies, mail order pharmacies and non-preferred pharmacies in eight cities (Helena, MT; Salt Lake City, UT; Pierre, SD; Cheyenne, WY; Boise, ID; Denver, CO; Salem, OR; and Des Moines, IA). Across the eight cities, the Plan Finder full cost of the preferred network pharmacy was more expensive than the Plan Finder full cost of the non-preferred network pharmacy 75 percent of the time. Furthermore, the Plan Finder full cost when comparing mail pharmacy to a non-preferred network pharmacy, was again higher 94 percent of the time.

"There is an easy solution to address the concerns of more than one million seniors with preferred pharmacy drug plans. Allow any legitimate pharmacy willing to accept plan terms and conditions, including reimbursement, to participate. Medicare officials have already recommended this change. In its final 'call letter' for 2014, the agency said it believes that the best way to encourage price competition and to lower costs is to allow any willing pharmacy to participate in preferred networks. We hope that Part D plans will take that suggestion to heart."

The National Community Pharmacists Association (NCPA®) represents the interests of America's community pharmacists, including the owners of more than 23,000 independent community pharmacies. Together they represent an $88.5 billion health care marketplace, dispense nearly 40% of all retail prescriptions, and employ more than 300,000 individuals, including over 62,000 pharmacists. To learn more go to or read NCPA's blog, The Dose, at

[1] According to the Pharmaceutical Care Management Association, 9.5 million seniors are enrolled in preferred pharmacy plans and Hart Research Associates reports that 11 percent of preferred pharmacy plan beneficiaries are either somewhat dissatisfied (5%) or very dissatisfied (6%) with their plan.

SOURCE National Community Pharmacists Association
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. NEW POLL: Tennessee Voters Strongly Oppose Making Popular Cold and Allergy Meds Prescription Only
2. Researchers Funded By The Pancreatic Cancer Action Network Leverage $9.15 Million Investment By The Organization Into $91 Million In Subsequent Pancreatic Cancer Research Funding
3. Kite Pharma Completes $35 Million Series A Preferred Stock Financing
4. Concord Medical Announces the Signing of US$50 Million IFC Loan Agreement
5. United Way and FamilyWize Partnership Has Helped 5 Million People Stay Healthy
6. Callidus Biopharma Announces $4.6 million in Series A Financing to Pursue Orphan Disease Therapies
7. Nutrastar Announces First Quarter 2013 Results, Maintains Full Year Revenue Guidance Range of $44 million to $46 Million
8. Indias Largest Generic Drugmaker Ranbaxy Pays $500 Million to Settle Systemic Generic Drug Manufacturing Fraud
9. Perdue Kidd & Vickery Wins First Humira Trial - Abbott Laboratories To Pay $2.24 Million
10. Omeros Announces $16.2 Million Registered Direct Offering of Common Stock
11. Isis Pharmaceuticals Earns $3.5 Million from Biogen Idec
Post Your Comments:
(Date:11/30/2015)... , Belgium , Nov. 30, 2015 ... sciences company focused on developing blood-based diagnostic tests for a ... the Company will present at the LD Micro Conference, which ... Los Angeles, CA. Attending from VolitionRx will be ... Scott Powell , Vice President of Investor Relations. ...
(Date:11/30/2015)... , November 30, 2015 Mexico Healthcare and ... Life Sciences Report 2015 . --> Pharmaboardroom releases its ... Latin America , a country of over ... a country of over 122 million people. --> It ... pharmaceuticals, or life sciences insights into the second largest pharma and ...
(Date:11/30/2015)... 2015 Sectra (STO: SECT ... entered into a multi-year agreement to provide Breast Imaging ... Kentucky Breast Care to increase collaboration with sub-specialists around ... patients. --> Sectra (STO: SECT ... entered into a multi-year agreement to provide Breast Imaging ...
Breaking Medicine Technology:
(Date:11/30/2015)... ... November 30, 2015 , ... It’s inevitable that everyone will experience death ... or animal pass away, death lives among us. It is your perspective, however, that ... family of 11 children, author T Sky understands that she may see death more ...
(Date:11/30/2015)... ... November 30, 2015 , ... Sikka Software announced today that ... Their Ecosystem empowers dentists to make complex business decisions by providing the tools and ... a free fee survey with 10 procedures customized by zip code. , The ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... alliance around Novus’ TIGR® Matrix Surgical Mesh technology for soft tissue repair in ... TIGR® Matrix is a long-term resorbable surgical mesh intended to support and reinforce ...
(Date:11/30/2015)... ... November 30, 2015 , ... SIMmersion’s ability ... to the medical schools of the future. To reach an audience of key ... 2015 ChangeMedEd conference in Chicago, organized by the American Medical Association. , ...
(Date:11/30/2015)... CALIF. (PRWEB) , ... November ... ... ( ), a leading provider of enterprise Time and Attendance/Workforce Management ... status in the Microsoft Partner Program with competencies in the Application Development, ...
Breaking Medicine News(10 mins):