NASP Lunch & Learn Webinar: Navigating the challenges of the IRA’s Maximum Fair Price (MFP)…are you ready for 2025?
Tuesday, December 3 | 1:00 PM Eastern
The National Association of Specialty Pharmacy is pleased to announce a webinar presented by Avalere, titled “Navigating the challenges of the IRA’s Maximum Fair Price (MFP)…are you ready for 2025?” Beginning January 2026, drugs selected by CMS as subject to a “Maximum Fair Price” (MFP) will begin effect. In effectuating the MFP, claims for selected drugs will likely be paid at MFP at the point of sale. Under this model, pharmacies will likely carry a negative balance between their WAC based purchase price and the MFP payment. Under this model, the manufacturer itself (or through a contracted third party) will be required to issue a direct transfer of funds to the dispensing entity as the “MFP refund.
There are several outstanding items that have not been addressed from a pharmacy perspective, including (a) potential cash flow challenges during the MFP refund waiting period, (b) the timing of MFP refund, once a manufacturer receives notification that a negotiated drug was dispensed to a Medicare beneficiary, (c) 340B duplicate discount liability under a contract pharmacy agreement, and (d) concerns that the standard MFP refund is enough to address gross profit erosion.
During this webinar, speaker Clay Keene, Principal at Avalere, will review the proposed flow of data and funds for the MFP effectuation, areas of concern and things to consider as part of mitigation planning.
Members are welcome to click here to register for this webinar.
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