Blog

»  Posts By   May 2012 

Are PSAOs Looking Out for Your Pharmacy’s Best Interests? A Request for Pharmacy Feedback

A pharmacy owner recently lamented that she experienced a sudden and significant reduction in reimbursement rates for compounds dispensed to patients whose insurance coverage had not changed. The decrease in reimbursement began immediately after a particular insurance plan switched from managing its own pharmacy benefit, to using a PBM. The pharmacy client wondered why its reimbursement for a given compound would change drastically when the PBM entered the picture. The answer to...

Q&A Regarding Copay Reimbursement Programs

We see a significant “chatter” within our pharmacy client base regarding copay reimbursement programs. The legality of these programs and how the pharmacy may/should treat copay cards and/or coupons is at issue. The following Q & A is intended to provide pharmacies with useful guidance. Are Copay Reimbursement Programs (“CRP”), such as Pfizer’s Lipitor for You® copay card program, legal? Or, are the copayments illegal “kickbacks” by manufacturers? The legality of...