Keystone Pharmacy Purchasing Alliance

BREAKING NEWS H.R. 9096 the #PharmacistsFightBack Act has reached 50 bipartisan co-sponsors!! #PBMreformNow #pharmacy #independentpharmacy #patientsbeforeprofits #puttcast

NCPA November 26, 2024 As the last few weeks of this Congress approach, NCPA is still hard at work with members of Congress to make sure PBM reform policies are included in any potential end-of-year legislative package. If every pharmacist gets 10 patients to send letters to their representatives in Congress, we’ll have their offices flooded with messages supporting PBM reform! Since we started our Finish the Fight initiative in June, patients have sent over 57,000 letters to members of Congress. Since the launch of our “10 to Win” push, over the last week patients have sent over 6,300 letters to members representing 48 states. Help us get some more! It’s a simple process: 1. Visit?https://lnkd.in/eTaDZQVc 2. Scroll to campaign resources 3. Select a poster to print and display in your pharmacy 4. Ask your patients to scan the QR code and enter their name and address 5. Have them click the submit letters link to complete their action Contact your representative?and urge them to sign onto a bipartisan letter circulating in the House of Representatives that will ask congressional leadership in both the House of Representatives and the Senate to make sure PBM reform is included at the end of the year that includes these priorities.?Nearly 60 legislators have already signed on, but we need many more to do so! If you have any questions about engaging with your patients or contacting your legislators, you can email Michael Rule at?[email protected]. NCPA

If you want to save patient lives and keep pharmacy doors open, simply text "SIGN POQGFA" to 50409. This will sign a letter that urges your Congressional representative to cosponsor and support The Pharmacists Fight Back Act HR 9096. This bill will: 1. Require 80% of rebates be used to reduce patient out of pocket (it would have saved seniors 40 BILLION last year) 2. Allow patients to go to a pharmacy of their choice and not be forced to wasteful, expensive, and dangerous mail order pharmacies owned by the PBMs. 3. Establish pharmacy reimbursement that will keep pharmacies open and save plan sponsors/tax payers a fortune by eliminating PBM price gouging and spread pricing. This is the bill that will put power back into the hands of patients and keep pharmacy doors open! Text "SIGN POQGFA" to 50409 or call your representative's office today to urge them to be a cosponsor of The Pharmacists Fight Back Act HR9096! #Pharmacy #PharmacistsFightBack #9096OrDie #PBMBlackout

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Have you joined our #FinishTheFight campaign? We’ve come so far in advocating for fair reimbursements and better contract terms for pharmacies, and Congress is closer than ever to passing payment reform legislation. This is a historic moment — let’s make it count with this final push and get your patients involved! We’ve made it simple to access campaign resources and get your patients involved in #PBMreform. We’re asking every pharmacy to get 10 to win – get 10 patients to send a message to Congress. Every message counts. ?? Let’s finish this fight! ??? Get involved at https://bit.ly/10-2-win. #pharmacy #communitypharmacy

?? Year-End Redflags for Pharmacies ?? As we approach the end of the year, independent pharmacies often face heightened scrutiny from Pharmacy Benefit Managers (PBMs) through audits, Fraud, Waste, and Abuse (FWA) investigations, and (re)credentialing processes. PBMs tend to intensify their oversight during this period, potentially leading to unexpected challenges and compliance demands. ? What to Watch Out For: Rigorous Audits: PBMs frequently initiate audits targeting claims data, reimbursement rates, and adherence to contract terms, aiming to recoup alleged overpayments. FWA Investigations: FWA inquiries can increase at year-end as PBMs look for potential billing inconsistencies. These investigations often require pharmacies to provide extensive documentation within tight timelines. Credentialing and Recredentialing: Applications submitted by pharmacies may undergo additional scrutiny, potentially leading to delays in approvals and potential network challenges. ?? Tips for Navigating Year-End Scrutiny: Be Proactive: Prepare documentation in advance and ensure compliance with PBM policies to avoid unexpected findings. Know Your Rights: Familiarize yourself with the dispute resolution procedures outlined in your PBM contracts and applicable state pharmacy audit laws. Seek Support if Needed: Don’t hesitate to contact me as I have been assisting pharmacies in navigating the PBM audit and appeals process. Let’s ensure your pharmacy is well-positioned to tackle these challenges and maintain compliance. Reach out if you need insights or support with PBM audits, credentialing, or FWA investigations. #Pharmacy #PBMs #IndependentPharmacy #PharmacyAudit #Compliance #HealthcareLaw