Pharmacy Coalition Praises Legislation to Relieve Patients and Pharmacies from Pharmacy DIR Fees

May 27, 2021 · Advocacy

Urges Congress to pass legislation to reduce patients’ out-of-pocket costs and to prevent pharmacy closures jeopardizing patient access

Washington, D.C. – With pharmacy access top-of-mind due to the pandemic and with drug-pricing concerns remaining a national policy priority, organizations representing pharmacies and pharmacists are lauding legislation to confront the serious issue of pharmacy direct and indirect remuneration (DIR) fees.

The organizations stated: “DIR fees are exerting unnecessary and devastating pressures on patients, on pharmacies, and on communities – particularly the most vulnerable and the underserved. We welcome the introduction of the Pharmacy DIR Reform to Reduce Senior Drug Costs Act, and we urge its passage this year.

“We greatly appreciate the strong and bipartisan leadership on this issue in the U.S. Senate of Sen. Jon Tester (D-MT), Sen. Shelley Moore Capito (R-WV), Sen. Sherrod Brown (D-OH) and Sen. James Lankford (R-OK), and that in the U.S. House of Representatives of Rep. Peter Welch (D-VT), Rep. Morgan Griffith (R-VA), Rep. Buddy Carter (R-GA), Rep. Vicente Gonzalez (D-TX), Rep. Diana Harshbarger (R-TN), Rep. Abigail Spanberger (D-VA), Rep. John Rose (R-TN), and Rep. Raja Krishnamoorthi (D-IL).

“We also commend the leadership of Senate Finance Committee Chairman Ron Wyden (D-OR) and Sen. Chuck Grassley (R-IA) who advanced these legislative concepts with effectiveness and dedication last year during consideration of drug-pricing legislation. It now is imperative for this legislation to be passed and enacted.

“Resulting from a regulatory loophole, DIR fees charged by payers to pharmacies have the net effect of needlessly inflating Medicare patients’ out-of-pocket prescription drug costs and jeopardizing the viability of pharmacies.

“This pivotal legislation seeks to reduce patients’ cost-sharing, prevent plans and pharmacy benefit managers from clawing back fees from pharmacies, enhance price transparency, and establish consistent pharmacy performance measures that foster quality care and that enhance the viability and predictability of pharmacy operations.

“Rightfully, much has been said during the pandemic about the importance of there being a pharmacy within five miles of 90 percent of Americans. This is a powerful statement about the needs of Americans and about the value of pharmacies, and the Pharmacy DIR Reform to Reduce Senior Drug Costs Act is a necessary response to the health and wellness needs of all Americans.”

More information about the pharmacy organizations is available online:

National Community Pharmacists Association
National Community Pharmacists Association National Association of Chain Drug Stores
National Association of Specialty Pharmacy
American Pharmacists Association
FMI – The Food Industry Association
National Grocers Association
National Alliance of State Pharmacy Associations
American Society of Consultant Pharmacists