Pharmacists Report Hidden Fees That Distort Prescription Costs

Share this content:
Pharmacists Report Hidden Fees That Distort Prescription Costs
Pharmacists Report Hidden Fees That Distort Prescription Costs

THURSDAY, July 7, 2016 (HealthDay News) -- Pharmacists often encounter fees imposed by prescription drug "middlemen" that adversely impact both pharmacies and patients and distort medication costs and reimbursement rates, according to a report from the National Community Pharmacists Association (NCPA).

A survey of 640 pharmacists conducted by the NCPA documents the scope and effect of direct and indirect remuneration (DIR) fees imposed on community pharmacies and increased costs for patients at the pharmacy counter through copay clawback fees.

According to the report, community pharmacies are sometimes assessed for DIR fees weeks or months after a medication is dispensed and the pharmacy is reimbursed. Sixty-seven percent of pharmacists reported that they were given no information about when fees would be collected or assessed and how much they would be charged. Fifty-three percent of pharmacists reported that fees were assessed quarterly, with many complaining about the time lag. Most pharmacists (57 percent) reported that fees now appear in some commercial plans. The financial impact of DIR fees was significant, with 87 percent of pharmacists reporting a significant impact on their ability to provide patient care and remain in business.

The survey also explored copay clawbacks on patients, which were relatively common, with 83 percent of pharmacists having witnessed them at least 10 times in the previous month. Two-thirds of respondents (67 percent) reported that the practice was limited to certain pharmacy benefit management (PBM) corporations. The findings also indicate that PBMs may impose a gag clause that prohibits community pharmacists from telling a patient that a medication may be less expensive when purchased at cash price.

More Information

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes

Study Provides Estimates of U.S. Prevalence of Type ...

Prevalence of type 1 diabetes 0.5 percent, type 2 diabetes 8.5 percent among U.S. adults

Black Individuals at Highest Risk of Legal Intervention Injury

Black Individuals at Highest Risk of Legal Intervention ...

Increase in rates of injuries from 2005 to 2009, followed by a drop to 2015, returning to ~2005 levels

Research Links Doctor Burnout to Patient Safety Incidents

Research Links Doctor Burnout to Patient Safety Incidents

Physician burnout linked to increased risk of patient safety incidents, reduced patient satisfaction

is free, fast, and customized just for you!




Already a member?

Sign In Now »