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Pharmacy benefit managers should be required to be more transparent in health insurance exchanges, the National Community Pharmacists Association asserted in comments recently submitted to the U.S. Office of Personnel Management (OPM).
Pharmacy benefit managers (PBMs) should be required to be more transparent in health insurance exchanges, the National Community Pharmacists Association (NCPA) asserted in comments recently submitted to the U.S. Office of Personnel Management (OPM).
The OPM is responsible for contracting with at least 2 multistate plans that will offer coverage through exchanges, which come online in 2014. “Successful healthcare reform places a premium on transparency, and nowhere is that needed more than in the administration of prescription drug services by the PBM industry,” said B. Douglas Hoey, RPh, NCPA executive vice president and CEO. “The federal health reform law includes just such a provision in the state healthcare exchanges … that allow health plan sponsors to actually ensure PBM promises of efficiency and savings are occurring,” he added.
NCPA provided OPM with several recommendations pertaining to healthcare exchanges. They included:
“These commonsense solutions will allow independent community pharmacists to play a greater role in reducing costs and improving outcomes through the proper use of generic drugs and effective face-to-face counseling to ensure that patients take their medication as directed by their doctors,” Hoey said.