Patients Before Middlemen Act amends Medicare Part D to ensure pharmacy access and choice for beneficiaries and establish requirements for pharmacy.
The Patients Before Middlemen Act amends title XVIII of the Social Security Act to assure pharmacy access and choice for Medicare beneficiaries under prescription drug plans and MA–PD plans. It mandates that PDP sponsors permit any willing pharmacy to participate as a network pharmacy if it meets standard contract terms and conditions. The Act also establishes requirements for pharmacy benefit managers, including prohibiting them from deriving remuneration from entities other than bona fide service fees.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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