News & Updates

To help elderly patients, CMS should prohibit PBM fees – not reform them

Over just the past few years, the nation’s three largest pharmacy benefit managers (PBMs) – CVS Caremark, Express Scripts and Optum Rx – have come to control more than 80% of prescriptions dispensed in America…Read more.

National LTC Pharmacy Group Praises Trump White House Report Targeting PBM “Lack of Transparency”

Report Says Policies to Disrupt PBM Oligopoly “Can Reduce the Price of Drugs Paid by Consumers”…Read More.

Desperate Fig Leaf: PBM Effort to Use Non-Interference Clause to Systematize Price-Gouging

Morning Consult
From the standpoint of the widening national debate on drug pricing issues, 2017 was a watershed year…Read more.

Senior Care Pharmacy Coalition Comments on Healthcare Choice and Competition

January 25, 2018 Via Electronic Submission: John R. Graham Acting Assistant Secretary for Planning and Evaluation Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Re: Response to RFI: Promoting Healthcare Choice and Competition Dear Mr. Graham: The Senior Care Pharmacy Coalition (SCPC) commends the office of the Assistant Secretary read more…

Senior Care Pharmacy Coalition (SCPC) Slams PBM Industry Attempt to Hide Behind Non-Interference Clause to Sustain Anti-Competitive Price Gouging

National LTC Pharmacy Advocacy Group Says Congress Never Intended Clause to be Misused to Undermine Free-Market…Read More.

National LTC Pharmacy Group Urges CMS to Prohibit PBM Pharmacy Fees — Not Reform Them

SCPC Also Says Conceptual “Point of Sale” Policy Solution Not Effective for LTC Pharmacies, LTC Patients as Dually-Eligible Beneficiaries Constitute High Percentage of Patient Population; CMS Authorized to Act under Medicare Part D…Read More.

Senior Care Pharmacy Coalition Comments on Part D Proposed Rule

January 16, 2018 Via Electronic Submission The Honorable Seema Verma, M.P.H. Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-4182-P 7500 Security Boulevard Baltimore, MD 21244 Dear Administrator Verma: The Senior Care Pharmacy Coalition (SCPC) appreciates the opportunity to comment on the proposed rule entitled “Medicare Program: Contract Year read more…

Mr. Azar goes back to Washington

Modern Healthcare
It’s a propitious time, at least for conservatives, for Alex Azar to take the top job at HHS. …Read More.

Middlemen are driving up the cost of life-saving drugs

The Hill
History will record 2017 as a transformative year in medicine. The U.S. approved the first gene therapy that modifies a patient’s blood cells to help the immune system attack an aggressive form of leukemia in children and young adults…Read More.

‘Big black box called PBMs’ draws attention from lawmakers trying to solve drug prices

WASHINGTON — As lawmakers are puzzling over the question of why so many patients are paying so much money for prescription drugs — and what to do about it — Republicans are focusing increasing scrutiny on the middlemen: pharmacy benefit managers…Read more.

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