News & Updates

SCPC Member Alert: Recent FDA Requirements on Dispensing Create Conflict with Department of Justice Fraud Concerns and Payer Practices

As you may know, many Part D Plans/PBMs and other government payers (Medicare, Medicaid and TRICARE) recently began seeking audit recoupments from pharmacies that do not dispense insulin pens in multi-dose packaging as provided by manufacturers.  SCPC understands that this payment policy change is causing confusion in the marketplace and could be disruptive to effective read more…

Senior Care Pharmacy Coalition (SCPC) Suggests Two PBM Transparency Refinements to Senate Finance Committee Drug Pricing Bill

Washington, DC – In previously noting that capping Medicare beneficiaries’ out-of-pocket costs as low as possible is a primary long-term care (LTC) pharmacy advocacy priority as Congress debates drug pricing reform legislation, the Senior Care Pharmacy Coalition (SCPC) also recommended two pharmacy benefit manager (PBM) transparency provisions be included in the pending Prescription Drug Pricing read more…

To Protect Seniors, Modernize Regulations by Passing LTC Pharmacy Definition

Morning Consult | February 28, 2020 By Alan G. Rosenbloom  When it comes to the “alphabet soup” of three- and four-letter federal agencies, one’s eyes can glaze over in confusion about what they do, why they do it and how average citizens benefit from their federally funded oversight. In the realm of health policy and our read more…

National LTC Pharmacy Advocacy Group: Capping Seniors’ Out of Pocket Costs as Low as Possible Remains Key Drug Pricing Reform Objective

Washington, DC – With media attention increasingly focused upon the “inflationary rebate” facet of the Senate Finance Committee’s Prescription Drug Pricing Reduction Act of 2019 (S. 2543), the Senior Care Pharmacy Coalition (SCPC) today said capping Medicare beneficiaries’ out-of-pocket costs as low as possible remains a top long-term care (LTC) pharmacy advocacy priority. “Capping Medicare read more…

National LTC Pharmacy Advocacy Group: Explosion of PBM DIR Fees Squeezes Elderly Patients and LTC Pharmacies Who Serve Them

FOR IMMEDIATE RELEASE February 19, 2020 Washington, DC – The Senior Care Pharmacy Coalition (SCPC) today said a new analysis from XIL Consulting finding post-point-of-sale direct and indirect remuneration (DIR) transaction fees paid by pharmacies to pharmacy benefit managers (PBMs) and prescription drug plans (PDPs) rose by 1600% since 2013 helps renew attention on a read more…

To boost transparency, amend bills to require PBM disclosure data related to seniors residing in long-term care facilities

McKnight’s Long–Term Care News – February 10, 2020 By Alan G. Rosenbloom To better ensure consumers and the Centers for Medicare & Medicaid Services (CMS) have access to drug pricing information relevant to seniors residing in long term care facilities, we believe the Senate Finance Committee-introduced Prescription Drug Pricing Reduction Act (PDPRA) and the Lower read more…

To Boost Transparency, SCPC Seeks to Amend Senate, House Bills to Require PBM Disclosure Data Related to Seniors Residing in LTC Facilities

Washington, DC – To better ensure the Centers for Medicare and Medicaid Services (CMS) and consumers have access to drug pricing information relevant to seniors residing in long term care (LTC) facilities, the Senior Care Pharmacy Coalition (SCPC) today suggested that the Senate Finance Committee-introduced Prescription Drug Pricing Reduction Act (PDPRA) and the Lower Cost, read more…

Bill to eliminate third-party pharmacy benefit managers could save state millions

Fox 25 Oklahoma – January 24, 2020 By Destiny Washington OKLAHOMA CITY (KOKH) — Oklahoma could soon join the growing number of states backing away from using Pharmacy Benefit Managers (PBM’s) to administer prescription-drug programs. A PBM is a third-party administrator of prescription drug programs for state and federal government employee plans, self-insured employer plans, commercial read more…

SCOTUS Can Rein in Middlemen Who Are Gaming Local Pharmacies, Patients

Morning Consult– January 23, 2020  By B. Douglas Hoey Very few people know what pharmacy benefit managers do. The three biggest rival the largest corporations in the world in terms of market capitalization, revenue and profits. The CVS Health pharmacy service segment, for example, reported $134 billion in revenue last year. The PBMs exert enormous influence on read more…

New advocacy tool offers lawmaker education about long-term care pharmacy clinical value, benefits

McKnight’s Long-Term Care News– January 13, 2020 By Fred Burke As every practitioner and advocate within our broader long-term care space knows, it’s becoming increasingly difficult to break through the noise when it comes to engaging with and educating policymakers about the intrinsic value the long-term care community provides. Given the health challenges America faces, read more…

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