that pharmacy benefit management companies charge pharmacists.
Ohio Pharmacists Association Director Ernest Boyd says the fee the companies charge to average small pharmacies now totals around $80,000 a year, enough to wipe out all their profits. Boyd said they wreck pharmacists’ balance sheets because they’re unpredictable and are often charged to pharmacists months after they’ve dispensed the drugs for which the benefits management company is assessing the fee.
“CMS agrees that the significant growth in DIR amounts is troubling and is planning to use our administrative authority to issue proposed rulemaking addressing price concessions and DIR,” her letter said.said the organization looks forward to reviewing the CMS proposal.