A request for information on pharmacy contracting is due by April 1, 2027
What the document says“Not later than April 1, 2027, for purposes of establishing the standards under subclause (II), the Secretary shall issue a request for information to seek input on trends in prescription drug plan and network pharmacy contract terms and conditions, current prescription drug plan and network pharmacy contracting practices”
By April 1, 2027 the Secretary must issue a request for information to inform the standards. It must seek input on contract trends and practices, whether reimbursement and dispensing fees cover pharmacies' ingredient and operational costs, the use of pharmacy quality measures, plan restrictions on dispensing, auditing practices, points in current regulation or guidance needing clarity, factors bearing on whether terms are reasonable and relevant, and other issues the Secretary finds appropriate.
What the document actually says“Not later than April 1, 2027, for purposes of establishing the standards under subclause (II), the Secretary shall issue a request for information to seek input on trends in prescription drug plan and network pharmacy contract terms and conditions, current prescription drug plan and network pharmacy contracting practices”
By April 1, 2027 the health chief must ask the public for input. The questions cover how plans and pharmacies write their deals now.
The input shapes the fairness test. The list of questions is long. One of them is whether what a plan pays covers what a drug costs the pharmacy.
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