CMS proposes rule requiring Part D plan sponsors to apply all Rx price concessions to point of sale

Jan 07 · Advocacy

On Thursday, January 6, the Centers for Medicare & Medicaid Services released a Medicare Advantage and Part D proposed rule. The rule would require Medicare Advantage and Part D plans to pass on price concessions they receive from network pharmacies, known as Direct and Indirect Remuneration (DIR) fees, to beneficiaries at the point of sale. NASP has worked tirelessly for many years advocating for DIR reform. While this is extremely good news, we remain cautious as a tremendous amount of work remains to be done to ensure reimbursement transparency and predictability. NASP is working with our legislative consultants and will engage the NASP Policy Council and our members to comment and provide feedback on the proposed rule. We will provide additional details in the coming days and keep you apprised of our progress.

Please click here to read the NASP press release. 

Please click here to read the CMS press release. 

Please click here to download the proposed rule from the Federal Register.