NCPA
@Commpharmacy
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NCPA represents over 18,900 pharmacies that employ 205,000+ folks nationwide. Community pharmacists are among America’s most accessible health care providers.
Alexandria, Va.
Joined May 2009
Dr. Glaucomflecken will be at #NCPA2022, will you? . 👉 Register today at *Friendly reminder, the housing deadline is Sept. 9 and rooms are going fast!
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BREAKING: NCPA filed a federal lawsuit against the U.S. Department of Health and Human Services challenging backdoor pharmacy price concessions known as pharmacy DIR fees. Neither we nor small business community pharmacies can wait any longer to #FixDIR:
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Congress is on the verge of PBM reform, but the PBMs are pulling out all the stops. Contact your member of Congress and tell them to enact PBM reform NOW! No more kicking the can down the road. #FinishtheFight.
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BREAKING NEWS: Sens. @ChuckGrassley, @RonWyden, and others added language to stop clawbacks and #FixDIR in updated Senate Finance Committee drug pricing bill released today. Thanks for listening to @Commpharmacy and working to include this important pro-patient provision!.
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BREAKING #BATTLEGROUNDSCOTUS NEWS: The Court has ruled 8-0 in favor of @AGRutledge, patients, and pharmacies! Stay tuned for more as we analyze the decision.
We will get multiple opinions today. 1st is Rutledge v. Pharmaceutical Care Mgmt Assoc. SCOTUS reversed the 8th Cir. to hold that an Arkansas’ statute regulating pharmacy benefit managers’ drug-reimbursement rates is not pre-empted by ERISA. It's 8-0.
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‼️ NCPA loudly applauds a class action lawsuit filed against vertically consolidated CVS Health, Caremark, and Aetna that aims to recoup millions of dollars in what the lawyers say are wrongful DIR fees. Learn more at #NCPA2023 and in our news release:
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.@VP Mike Pence, 21,000 community pharmacies stand ready to assist @POTUS's #Coronavirus Task Force. We're urging the administration to immediately suspend all pharmacy DIR fees as they are threatening community pharmacists’ ability to offer continued patient access & care.
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A new analysis released last night shows how PBMs are using DIR fees to rake in billions profits at the expense of patients and neighborhood pharmacies. Share the analysis and spread the word about the need to #FixDIR:
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👏👏 @RepBuddyCarter in the @WSJ: “If your business practices are so horrific that merely putting them down on paper constitutes defamation, then you aren’t really running a business.” #FinishTheFight #PBMreform
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It's becoming a chorus!.
Pharmacy Benefit Managers are driving pharmacies out of rural areas—driving up cost and making it harder to get prescriptions.
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BREAKING: SCOTUS will be hearing Rutledge v PCMA case on states' authority to regulate PBMs. NCPA CEO Douglas Hoey says, “We’re very optimistic [SCOTUS] will agree that PBMs do not get to act with impunity from state and federal law.” @AGRutledge @arkpharm
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54 Congressional members have signed a letter urging House & Senate leaders to help community pharmacies during this health crisis. The ask: Pause 2020 pharmacy DIR fees & ensure fees won't be assessed on community pharmacies after the #coronavirus ends.
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Congress failed again to pass #PBMReform. Despite that @realDonaldTrump said twice yesterday he wants to "cut out the middlemen." Despite that it would save $5 billion (looking at you, @DOGE @elonmusk). Whatever Congress passes, whenever it passes it, must include #PBMReform.
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‼️NCPA is joining a class action lawsuit against GoodRx and PBMs, accusing them of colluding in a price-fixing scheme that further disadvantages independent pharmacies and caters to PBMs. Learn more:
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🚨 It passed! “We’re grateful to our allies in Congress for keeping PBM reforms on their agenda and are eager to see these and other changes enacted as quickly as possible,” says @AnneCassity1.
The Lower Costs, More Transparency Act (H.R. 5378) is scheduled to come to the House floor! It would bring greater transparency to Medicaid, save $1 billion+ over 10 years, and provide fair and transparent reimbursement. Ask your representative to support:
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"Independent pharmacies in New York are shuttering left and right, leaving patients scrambling for alternatives. Each closure deprives patients of a trusted healthcare advocate that knows their personal needs and health history." @SenSchumer @SenGillibrand.
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BREAKING: FTC Could Probe PBMs Soon .The Federal Trade Commission will vote soon on whether to study PBM anti-competitive behavior. Big breakthrough. Read the story here:
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Very disappointed in @nygovcuomo for rejecting common-sense PBM reform. It’s a shame that the governor chose to support out-of-state mega-corporations over New York patients and small businesses. @RichAzzopardi @melissadderosa.
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Our new ad — "PBM Career Day" — highlights the position PBMs have carved out for themselves as drug middlemen and their illogical, confusing role in health care. It's part of our #FinishTheFight campaign pushing the public to demand change and policymakers to finalize #PBMreform.
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After a report finds carving pharmacy benefits out of the Kentucky Medicaid managed care program would save nearly $240 million per year, KY Sen. @maxwellwise has filed a bill to cut PBMs from the program.
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MPhGA!.
Donald Trump says he plans to knock out middlemen in the healthcare industry to lower drug prices.
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“A healthy market requires transparency and a level playing field.” Thank you Rep. John Shimkus (R-Ill.) for highlighting the importance of #communitypharmacy & unfair PBM practices. See his remarks for yourself.
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@libsoftiktok @elonmusk We're not Big Pharma. We represent 19,000 independently owned, small business pharmacies. Mom and pop shops. The provisions we support would have saved taxpayers billions. They would also have saved a lot of small pharmacies. And, @realDonaldTrump supports #PBMReform.
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"Independent pharmacies have been outperforming their larger rivals all along. Independent pharmacies achieve superior results not despite being small, but because they are small. It’s their local ownership that makes the difference." @stacyfmitchell.
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“Having to say that ‘I can’t afford to fill the prescription for you,’ that’s not what we’re in business for,” NCPA's @KurtProctor told @Nicole_DeFeudis in a conversation about GLP-1 reimbursements. “It’s very frustrating.”
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The 10th Circuit Court of Appeals rejected a motion by the PBM lobby asking it to block Oklahoma from enforcing its PBM law while under appeal. NCPA strongly supports Oklahoma in this case and the state of Arkansas as it seeks to enforce #PBMreform in #BattlegroundSCOTUS.
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Many thanks to @AGRutledge and her team for all the hard work leading up to #BattlegroundSCOTUS! Nice job. We appreciate your strong support of patients and #communitypharmacy. @arkpharm @pharmacists @StatePharmacy.
Historic day arguing before the U.S. Supreme Court in our landmark case defending patients and fighting to protect family pharmacies! I’m thankful for the hard working team at the Attorney General’s Office. #SCOTUS #PBMs
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⌛ Members of Congress are pushing their leadership teams to include #PBMreform in an end-of-year package. 120 joined the House letter and 34 signed the Senate's. #FinishTheFight. ➡️View the Senate letter: ➡️View the House letter:
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PBMs are responsible for creating pharmacy networks and setting drug prices. They routinely push patients to pharmacies THAT THEY OWN! If that’s not a conflict of interest, what is? #questions4PBMs.
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.@linakhanFTC joins NCPA CEO Douglas Hoey and discusses the agency’s efforts to ramp up public forums, hear what issues it should be paying attention to, and understand business realities happening in marketplaces like pharmacy. #NCPA2022
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An Iowa pharmacy shared this pic of unused meds for one TRICARE patient brought in earlier this yr. Easily worth $12K. STOP #mailorderwaste!
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BREAKING: Pharmacy Groups Unite to Fight PBMs in Landmark Supreme Court Case @Commpharmacy @arkpharm @pharmacists @StatePharmacy #SCOTUSRX.
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Right on @RepBuddyCarter! Thanks for fighting the fight. Get it done this year!.
It is time for Congress to take up #PBM reform. We have the votes and Americans need it. We must act now!
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GA going to the mattresses! New bill would make retroactive DIR fees racketeering.
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Encouraging news in our fight to #EndDIR — CMS says it "agrees that the significant growth in DIR amounts is troubling and is planning to use our administrative authority to issue proposed rulemaking addressing price concessions and DIR.” Stay tuned .
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BREAKING: NCPA, @arkpharm, @pharmacists & @StatePharmacy today filed an amicus brief supporting states' rights to regulate #PBMs ahead of the #SCOTUSRX case set to be heard on April 27. PBMs "are not immune from ordinary market regulation," our brief says.
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"It is no surprise that nearly every state—red and blue—has enacted laws regulating PBMs. It is also why the federal government and nearly every state—from Texas to California—argued in defense of Arkansas’ law." More in our new #BattlegroundSCOTUS review:
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A new NCPA survey released this morning finds that almost 80 percent of community pharmacists say they’ve lost patients because of unfair steering in the past six months, and CVS Health is most often the culprit. "The results are very disturbing," says NCPA CEO @RPhDouglas.
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PBMs add 30 cents to every dollar on prescription drugs. Stop gouging seniors and killing their pharmacies. Support S. 1909/H.R. 3554. #EndDIR
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"We request your immediate help to address DIR reform this year in order to eliminate practices that drive up patient and government spending on drugs," we urged @realDonaldTrump today w/ @NACDS, @Rx_Specialty, @pharmacists, @FMI_ORG, and @NationalGrocers:
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W. O. W. Ohio firing pharmacy middlemen.that cost taxpayers millions.
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NCPA @Commpharmacy Blasts FTC for Failing to Approve PBM Study. Hoey: "Two members let the worst actors in the market off the hook."
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"A historic victory for independent pharmacies and their patients." Read our latest press release for reactions from NPCA CEO @RPhDouglas, and NCPA partners, regarding today's SCOTUS ruling on Rutledge v. PCMA. #BattlegroundSCOTUS @AGRutledge
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👏👏👏 Next Tuesday, July 23, executives from Express Scripts, CVS Caremark, and OptumRx will be testifying before @GOPoversight / @OversightDems on the role of PBMs in increasing health care costs. We'll be tuning in . will you?? Let us know!
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#Communitypharmacy is key to a robust #COVID19 response. Since 91% of Americans live w/in 5 miles of a community pharmacy and 76% of our members provide immunizations and offer delivery, we’re perfectly situated to intervene and provide meaningful services
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👏 👏 👏.
Today I led a bipartisan group of 39 state attorneys general in a letter to Congress urging them to join state efforts to hold Pharmacy Benefit Managers accountable. PBMs have unduly raised drug prices for consumers, threatened the survival of local independent pharmacies and
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A group of 207 organizations today announce strong support of the PBM Transparency Act (S. 4293) introduced by @SenatorCantwell and Sen. @ChuckGrassley. We also urge Sens.@SenSchumer and @LeaderMcConnell to quickly bring it for a vote in the full Senate.
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NCPA’s 2024 Congressional Pharmacy Fly-In has begun! Follow along and share what you’re experiencing using #NCPAontheHill.
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Our new #FinishTheFight campaign launching today is about getting #PBMreform passed ASAP. We're not just mobilizing patients across the country to get involved, we’re empowering them to join us. For tools you can use to spread the word in your area, visit
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PBM-insurers' one-sided business practices are making it hard for patients to receive affordable, convenient care from the pharmacy of their choosing while also choking independent community pharmacies. Congress must #FinishTheFight and pass #PBMreform!
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$20K in wasted medications for 1 patient thanks to mail order auto-shipments. Stop #mailorderwaste! #pharmacychoice
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👏👏 Join us in applauding NCPA member Joe Moose of @Moose_Pharmacy for testimony before the House Ways and Means Committee. He discussed the PBM-insurers' stranglehold on health care and the need for independent pharmacies to thrive for their communities.
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Retroactive fees PBMs impose on pharmacies increased by an astonishing 91,500% in recent years, reports @CMSGov. “It’s completely out of control,” says @RPhDouglas, demanding immediate action. A $4 gallon of milk increased by that much would cost $3,660.
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“I’ve been in this business for 38 years, and I know what’s going on. You can’t fool me.” Iowa State Rep. John Forbes, a pharmacist via @DMRegister #PBMabuses @jforbes1021.
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.@RPhDouglas: NCPA repeatedly called on FTC to scrutinize PBM practices and thousands of community pharmacy owners and allies shared the impact health insurer-owned PBMs have on costs and access. These examples made a difference.
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NEWS: The FDA is allowing pharmacies to compound hand sanitizer during public health emergency. See the rules here, and please share. #COVID19 #coronavirus.
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🚨Congress has included NCPA's top priorities in the CR being prepared for a vote this week! Community pharmacies are on the verge of groundbreaking and desperately needed #PBMreform. #FinishTheFight and pass the CR!
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🚨NCPA is cheering a class action lawsuit against Express Scripts, alleging that the massive PBM, one of the largest in the world, colluded with several smaller PBMs to rig reimbursement rates and shake down pharmacies for higher fees. Learn more:
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We placed these ads today in @WSJ and @washingtonpost to bring public attention to the true culprits of high drug costs: #PBMs. Tell the Trump administration and members of Congress to rein in PBMs and #FixDIR!
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“Pharmacists are the most accessible and the most trusted health care professionals in the United States. They want to spend their time taking care of patients, not fighting with middlemen.” @OhioPharmacists.
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"The PBMs are using [pharmacy DIR] fees to drive community pharmacies out of businesses and patients will suffer most,” says @RPhDouglas to @POTUS. #FixDIR as part of any efforts on drug pricing before it is too late. @SecAzar @MarkMeadows.
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.@RepBuddyCarter today asked @SecAzar about DIR fees and PBMs, referencing an NCPA survey finding that a majority of independent pharmacies may close their doors in the next two years with DIR fees being the pharmacies' biggest problem. Study here: #FixDIR.
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NCPA to @DOGE: PBMs essentially hold states and the federal govt hostage by threatening to jack up premiums if they're required to behave fairly or openly. Looking for waste, fraud and abuse? Support #PBMreform and transparency! @elonmusk @VivekGRamaswamy
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NEWS: NCPA is being joined by @pharmacists, @CSROAdvocacy, Fruth Pharmacy, Hi-School Pharmacy Services, Kare Drug and Tyson Drug Co. on the federal lawsuit challenging the direct and indirect remuneration fees imposed by PBMs on pharmacies and, indirectly, their patients. #FixDIR.
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BREAKING: ESI/Tricare making new offer to community pharmacies. Deadline 12/1. Check your faxes. Keep up the pressure. Contact your federal reps and the Department of Defense. Veterans deserve access to the pharmacy of their choice. Follow @commpharmacy for updates.
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🚨 @GOPoversight Chairman @RepJamesComer is launching an investigation into PBM practices that distort the market and limit care. With the FTC PBM study and recent progress in the Senate, momentum is clearly building in D.C. toward transparency and reform.
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As PBMs have come under scrutiny “they’ve doubled down on their behavior,” says @RPhDouglas, “becoming even more aggressive in their payment contracts with pharmacies, and frankly, the bullying tactics they use in their contracting and business practices.”
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.@RPhDouglas: PBMs serve their own corporate interests, not those of patients or taxpayers. But patients and taxpayers have too much at stake to allow them to continue operating with little or no regulation.
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At a hearing today w/@SecAzar, @RepMGriffith cited the XIL Consulting report showing how PBMs use DIR fees to rake in enormous profits at the expense of patients and neighborhood pharmacies. These graphics help explain the report and the need to #FixDIR:
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BREAKING: More than 115 organizations sign letter supporting DIR fee reforms in Part D rule #communitypharmacymatters #morePBMtransparencyneeded.
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NEWS: DeSantis executive order would direct agencies to reevaluate PBM contracts to ensure state costs are justified. NCPA recently shared how PBM conflicts of interest limit patient access and drive up costs. Great news for community pharmacy advocates!
Gov. DeSantis Issues Executive Order to Increase Prescription Drug Transparency
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Congratulations Amina Abubakar, PharmD, you have been named the NCPA 2020 Willard B. Simmons Independent Pharmacist of the Year! #NCPA2020.
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🚨 Many believe GPOs are corporate shells created for the purpose of hiding the amount of rebates PBMs receive. The @FTC is asking questions, announcing today it's requiring these entities to provide information and records on their business practices.
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NCPA/@CSROadvocacy hosted a Capitol Hill briefing today on how PBMs harm employers and patients, pushing policymakers to #FinishTheFight on #PBMreform this year. Thanks @RepBarragan and @RepBuddyCarter for kicking it off and NCPA Board Member @SteveMooreRx for being on the panel!
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Via @wandtvnews, Illinois State Senator @AndyManar will introduce a bill in January "to remove Pharmacy Benefit Managers (PBMs) from Medicaid, state retiree health and state group health plans."
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👋🏻 Hi, new followers! We’re the National Community Pharmacists Association, which represents the nearly 19,000 independently owned, small business pharmacies in the U.S. Learn more about us — and find a local independent pharmacy — at
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We applaud an Eighth Circuit ruling today that clears the way for all states to regulate many PBM practices that some argued were exempted by ERISA. The court also found that certain PBM practices within Medicare can also be regulated by the states.
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Amid growing public concern of #coronavirus, pharmacy customers should know that 76% of independent pharmacists deliver to homes and work sites. #COVID19 @HHS_ASH @Surgeon_General @AARP @CDCgov @CMSGov
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Propaganda alert!! The truth: The U.S. pays the highest drug costs in the world, and it's the only country with a government that has allowed PBMs to control the nation’s prescription drug benefit. To truly lower costs, PBM tactics *must* be reformed.
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In one state, a major PBM was caught paying its own pharmacy dramatically higher prices than it was paying independent pharmacies for the same drug! Is that fair to independent pharmacies and patients? #questions4PBMs.
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“To put it simply, they’re operating in bad faith and need to be investigated.” The Pennsylvania auditor general announced today that his office is going to investigate #PBM practices, and the press conference is a MUST WATCH. @PAPharmacists.
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"If your business model is based on keeping these numbers secret from the public, then you have a bad business model."
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HEADS UP: ESI/Tricare is soon making a new offer to independent pharmacies to participate in the network. Please check the terms carefully. We'll keep fighting so veterans can access their pharmacy of choice.
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The PBM lobby on Monday withdrew its challenge to Oklahoma’s authority to regulate PBMs while the PCMA v. Mulready case is pending, a development applauded by NCPA and @OkPharmAssoc. It’s time for Oklahomans to decide how to protect patients and local biz:
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Independent pharmacy closings in AR are 3.71 times higher than the national average. Congress, when will pharmacy DIR fees be fixed?
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There is widespread public concern over prescription drug costs and PBMs, and broad bipartisan support in Congress for #PBMreform. We are determined to get it passed before the end of the year. Let's #FinishTheFight!
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Pharmacies are high on the list of essential biz staying open during #COVID19 but at a time when #communitypharmacy is doing more to meet demand, we are struggling with low reimbursements and professional services fees. More via @catadunn/@PhillyInquirer:
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We’re launching the 1st branding campaign for independent pharmacies today! The campaign will help raise public awareness of, and reinforce, independent pharmacists as the front line of defense against #COVID19. Watch the 1st 30-sec video at
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Missouri community pharmacists speaking up for patients. Nice work, Ron and team.
500 pharmacists and students traveled to Jefferson City today to discuss pharmacy issues including the underhanded tactics of Pharmacy Benefit Managers. Your community pharmacists are the only group protecting patients. Please support HB 1542. It is time for patients to WIN.
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‼️ In a victory for independent pharmacy, a federal judge ruled a court, not an arbitrator, should decide if a plaintiff’s claims against CVS Health must be sent to arbitration. The forced arbitration clause is "substantively unconscionable," he said.
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Interesting development here. @FTC again seeking comment on PBMs. @Commpharmacy is investigating this and will advise members when we know more.
FTC requests public comments on the impact of Pharmacy Benefit Managers’ practices. Agency seeks information on the ways that large, vertically integrated #PBMs are affecting drug affordability and access. Comment period open through 4/25/22:
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‼️.
Chairman Comer reminds PBM witnesses that they are under oath. “I just want to remind the witnesses you're under oath. “And this statement about having a good relationship with independent pharmacies, that's a bit of a stretch. “According to dozens of pharmacists that texted
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BREAKING NEWS: Arkansas governor to sign PBM reform bill in 20 minutes, and we're partnering with @arkpharm to livestream the coverage on our Facebook page now. What are you waiting for? Go watch! #morePBMtransparencyneeded.
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