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Update on CMS’ Part D proposed rule – comment period closes soon: Hundreds of NCPA members have weighed in with CMS to back several key provisions of the proposed Part D rule, including a potential requirement to shift retroactive pharmacy DIR fees to point-of-sale instead. In addition, NCPA has engaged leading patient advocacy organizations and wrote an article for The Hill.com. As a reminder, here are some related grassroots links:

  • Submit comments to CMS to encourage the agency to move forward with the proposal. You can use the NCPA developed sample comments (be sure to customize them with your personal experiences).
  • Ask your Representative to sign a letter to CMS being circulated by Reps. Morgan Griffith, Peter Welch, Austin Scott, Dave Loebsack, and Buddy Carter. Click here to contact your Representative.

DIR Fees Hurt Everyone...Well Almost Everyone.

If someone didn't benefit from DIR fees then there would be no point to having them. The obvious answer are the PBMs who administer these plans.  But to hear their spokespeople tell it, those DIR fees are one of the ways the help keep prices lower for beneficiaries.

I've often heard that if you say it enough, people will start to believe it.  And the people did believe it, until the people hit the do-nut hole faster and their premiums went up and their local pharmacy was forced to close.  Now those people are ready to complain/voice concerns to someone other than their local pharmacist.  Now the news media is beginning to investigate and elected officials are asking questions.

Now is the time for you to take action.  Don't wait for the pharmacy owner in the neighboring town to do it.  It needs to be you and your patients need to understand why their medication costs continue to raise and who has really benefited at their expense (and yours.)

We know how hard it is to explain all of this to patients and lawmakers.  But somehow, NCPA managed to get the point across in a one-page info-graphic.  Click here to download.  Make copies  for your US Senators, Congressman, patients, advocacy groups for seniors....