CBO estimates Bill allowing Pharmacies to negotiate collectively would increase costs by only $727 million over 10 years
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CBO
estimates Bill allowing Pharmacies to
negotiate collectively would increase
costs by only $727 million over 10 years
WASHINGTON, Jan. 16 /PRNewswire-USNewswire/
-- Despite pharmacy benefit managers' (PBMs)
claims that HR971, the bill allowing
independent pharmacies to collectively
negotiate with PBMs, would increase costs to
Medicare D and private drug insurers by $29
billion, the Congressional Budget Office (CBO)
rejected this bogus number.
This month CBO found that HR971 would
increase costs to Medicare D, Medicaid, and
the Federal Employees Health Benefits (FEHB)
program by $727 million over ten years.
This is less than 3% of the unfounded $29
billion that the Pharmaceutical Care
Management Association (PCMA), which
represents PBMs, claims the bill would cost
Medicare D and other payers over five years.
The Association of Community Pharmacists
Congressional Network (ACP*CN) hopes this
CBO report will encourage members of
Congress to swiftly pass HR971 and the
Senate companion bill S2161.
"Pharmacy benefit managers' repeated
attempts to distort market place realities
and the way they conduct business with
independent pharmacies is once again exposed
in this CBO report. The CBO estimate is a
real workable number compared to the PBMs
outlandish, make believe figure. All along
we have said that PBMs use their
monopolistic standing in the marketplace to
routinely misrepresent the facts and
under-reimburse neighborhood pharmacies for
Medicare D drugs," said Mike James,
Vice-President,
Government Affairs, ACP*CN.
"The recent OIG report underscores this
reality, concluding that PBM reimbursements
to community pharmacists were only 17.3% to
18.1% above our acquisition costs. This is
well below the established 20-21% overhead
costs needed to operate a pharmacy, which
means we are losing money on every Medicare
prescription. The time is now for Congress
to grant independent pharmacies an exemption
in the nation's anti-trust law," concluded
James.
The Community Pharmacy Fairness Act (HR 971)
and the Senate bill (S2161) with the same
name would provide an exemption in the
nation's anti-trust law for neighborhood
pharmacies to collectively bargain with PBMs
to negotiate fairer contract terms.
PBMs act as middlemen between drug companies
and health insurers, administering the drug
benefit for private and public health plans,
including Medicare D.
About the Association of Community
Pharmacists Congressional Network
Based in Raleigh, NC, the Association of
Community Pharmacists Congressional Network
consists of 20,000 independent pharmacists
nationwide dedicated to serving the
communities in which they live. ACP*CN is
dedicated to the survival and growth of the
independent pharmacy owner, who often times
is the only pharmacy operating in rural
towns across America.
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