×
ADVERTISEMENT

DECEMBER 26, 2023

Actions add a dour note to the new year

PBMs Implement Sweeping Reimbursement Cuts and Ramp Up Audits


Originally published by our sister publication Specialty Pharmacy Continuum

By Gina Shaw
Pharmacy benefit managers (PBMs) have responded to the new Centers for Medicare & Medicaid Services (CMS) rule requiring them to account for all remuneration—including direct and indirect reimbursement (DIR) fees—at the time prescriptions are filled by charging dramatic up-front reimbursement cuts, according to a November 2023 report from KFF Health News, formerly known as Kaiser Health