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NCPA Responds to Administration’s Budget Proposal

Tuesday, February 13, 2018   (0 Comments)
Posted by: Janet Anderson
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NCPA Responds to Administration’s Budget Proposal


ALEXANDRIA, Va. (Feb. 13, 2018) – National Community Pharmacists Association CEO B. Douglas Hoey, Pharmacist, MBA, issued the following statement today regarding the Trump Administration’s budget proposal:


“We’re still reviewing the full scope of President Trump’s budget proposal, and nearly all of its contents are subject to Congressional review and approval. Based on an initial reading, several issues jump out.


“First, the proposal’s call for better aligned incentives in the Part D program is a step in the right direction. As policymakers evaluate sharing a portion of manufacturer rebates with Medicare beneficiaries at the pharmacy counter, it’s critical for pharmacy price concessions commonly referred to as ‘DIR fees’ to be a part of that discussion. These growing, retroactive fees wreak havoc on community pharmacies, which are often a vital access point for prescription drugs in rural and urban underserved areas. Accounting for them instead at the point of sale would give these providers greater certainty in making business decisions. We encourage the Centers for Medicare and Medicaid Services to move forward on adapting this reform, which the agency suggested in a broader, recent proposed rule.


“Second, the budget proposes new resources to combat the opioid epidemic. Community pharmacies are well-positioned as part of that effort, such as expanding access to medication-assisted treatment.


“Third, proposals to eliminate cost sharing for generic drugs for some beneficiaries and an annual cap on out-of-pocket costs deserve greater consideration as pharmacists work to support medication adherence.


“Fourth, it’s essential that Congress and the Administration support convenient access in both the Medicare and Medicaid programs to prescription drugs at community pharmacies that work best for each particular patient. Patients who stick with their medication are much less likely to seek costlier health care services, which can drive up program expenses. Funding for these programs must facilitate reasonable access.”

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