CMS Proposal Would Limit Industry Practice That Raises Costs For Some Medicare Drug Plan Beneficiaries
Jul 25th 2008Drug InformationMedicare / Medicaid / Tricare
A CMS proposal under consideration would limit a practice used by pharmacy benefit managers known as “lock-in pricing” that can increase costs for beneficiaries enrolled in the Medicare drug benefit and bring them into the so-called “doughnut hole” coverage gap more quickly, the Wall Street Journal reports. The doughnut hole begins when total annual drug spending by beneficiaries and their health insurers reaches $2,510.
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