NCPA's qAM

qAM

HHS moves closer to changing pharmacy payment model

by NCPA | Feb 11, 2019

Changing the pharmacy payment model is a top priority for NCPA, and the proposed rebate rule released last week by HHS is an important component of changing that model. That proposed rule seeks to exclude rebates paid by manufacturers to plans from the discount safe harbor and creates a new safe harbor for point-of-sale price reductions from manufacturers to plans. NCPA prepared this summary of the proposed rebate rule to aide community pharmacists in understanding the implications of the proposal. We continue to analyze the proposal and consult with our industry partners to determine our response to the proposed rule.