Page 28

40113 ChoiceRx ePub long (1)

Legislation Recommendations and Continued Oversight Bipartisan pharmacy audit legislation has been introduced in recent congressional sessions on the federal level. The legislation is based on a straightforward principle that when a pharmacist dispenses the right medication to the right patient at the right time, as prescribed by a doctor, it should not be a punishable offense. In fact states have begun to clarify auditing standards as well as transparency in pricing data on their own over recent years, and we applaud them for exercising valuable oversight for their taxpayers. In addition, TPA supports legislation that would establish broader oversight of PBMs and perhaps contemplates a fiduciary duty to their health plan clients. The system needs to ensure PBMs and their mail order operations are accountable to the government and the taxpayer. TPA supports further oversight by the government – TRICARE, FEHBP, CMS, and Congress—to ensure that taxpayer dollars are not being wasted on mail order pharmaceuticals. Cost Savings Potential dollar savings are real. According to GovExec, “FEHBP, with hundreds of different plans available to federal employees and their families, doesn’t do enough to rein in costs, especially when it comes to prescription drugs. According to Lynch’s office, the government spends $35 billion per year on FEHBP benefits, with about $10 billion going to prescription drugs. Prescription drug costs accounted for 3 percent to 5 percent of the annual increases in FEHBP premiums between 2002 and 2007, according to the Government Accountability Office.”25 Conclusion Ordering pharmaceuticals through the mail is not like ordering any other product. There are time sensitivities and the ever-changing tweaks to a prescription that make mail order a less practical way of delivering drugs. Evidence from the Michigan Pharmacists Association, among others, indicates that a flood of unwanted and unneeded drugs are being distributed with no regard to cost or safety. As federal healthcare and prescription drug coverage expands, so does the cost. Sending millions of dollars of prescriptions through the mail puts patients and taxpayers at risk. Pharmacists have always been at the forefront of pharmaceutical prescription and patient care. What most people haven’t realized , however, is that they have also been on the front lines defending against waste, fraud, and abuse in the system. 25. Parker, Alex M. “Lawmaker Pledges More Oversight of FEHBP Drug Costs.” - Pay & Benefits. Government Executive, 25 June 2009. Web. 01 Feb. 2013. <http://www.govexec.com/pay-benefits/2009/06/lawmakerpledges more-oversight-of-fehbp-drug-costs/29436/> 28


40113 ChoiceRx ePub long (1)
To see the actual publication please follow the link above