Protecting Patient Access to Pharmacies and Ensuring Fair Medicare Drug Payments.
This bill aims to ensure that pharmacies participating in Medicare Part D (prescription drugs) receive payments that cover their actual costs of acquiring and dispensing medications. This change is designed to protect patient choice and access to necessary drugs by preventing pharmacies from being forced out of networks due to insufficient reimbursement rates. It also establishes standardized and transparent rules for evaluating pharmacy performance and quality.
Key points
Mandates that Medicare Part D payments to pharmacies must cover at least the cost of acquiring and dispensing the drug, helping maintain patient access to local pharmacies.
Establishes standardized, fair criteria for evaluating pharmacy performance, focusing on measures that improve patient health outcomes.
Increases transparency: insurance plans must promptly disclose all pricing details and fees related to a prescription claim to the dispensing pharmacy.
Expired
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