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Insurers blast CMS proposal on point-of-sale Part D rebates
Modern Healthcare

Insurers are vehemently pushing back on the CMS‘ attempt to require Medicare Part D plans to force pharmacies to pass on negotiated price concessions on to enrollees when the drug is purchased at the pharmacy.

Industry groups commented on a proposed rule from the CMS that would require pharmacies to pass on to Medicare beneficiaries the negotiated price concessions that pharmacy benefit managers negotiate with pharmacies and Part D plans.

The rule would redefine the “negotiated price,” which is what a pharmacy must report to the CMS as the point-of-sale price for a Part D drug, as early as 2020.

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