With Landmark PBM Reform Enacted, Getting Implementation Right Matters

NCPA urges CMS to tighten PBM reform rules

ALEXANDRIA, Va. – The National Community Pharmacists Association is urging the Centers for Medicare & Medicaid Services to adopt clear, enforceable regulations as it implements the landmark pharmacy benefit manager reform law enacted earlier this year.In comments submitted to CMS this week, NCPA outlined recommendations for defining PBMs, establishing how they should be compensated under Medicare Part D, and ensuring that independent community a…

With Landmark PBM Reform Enacted, Getting Implementation Right Matters

By Alison LaPidus, Director, Policy & Regulatory Affairs Congress enacted the most comprehensive federal PBM transparency and accountability reforms in history in the Consolidated Appropriations Act (CAA). Now comes the equally important task of sorting out the details. First up, based on the law’s timeline, are several changes to Medicare Part D. The Centers for Medicare & Medicaid Services (CMS) will of course take the lead on these provisions…