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Proposed Cuts to Pharmacy Reimbursement
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Summary

Governor Wolf is proposing to cut the PACE professional dispensing fee while, at the same time, the Pennsylvania Department of Human Services proposes cutting pharmacy Medicaid reimbursement. If acted upon, these proposals would be detrimental to patients and pharmacies throughout the Commonwealth.

 

Ultimately, the two issues are closely tied together because Governor Wolf has requested uniformity in pharmaceutical pricing and proposed merging four state agencies to create a new Pennsylvania Department of Health and Human Services.

 

Visit www.papharmacists.com/PACEReimbursement to learn more about the proposed cuts to PACE reimbursement and visit www.papharmacists.com/MedicaidReimburse to learn more about the proposed cuts to Medicaid reimbursement.

 

 

Take Action

It's vital that we work together to fight this assault on community pharmacies!

 

Step 1: Email your state legislators

Emailing your state legislators is a great first step in advocating against the proposed cuts to pharmacy. Click here to email to your state legislators urging them to oppose any actions that would cut the PACE professional dispensing fee.

 

Then send an email to your state legislators asking them to co-sponsor Medicaid reimbursement legislation. House Bill 1595, sponsored by Representative Garth Everett (R-84), and Senate Bill 797, sponsored by Senator Thomas Killion (R-9), would establish a $10.49 professional dispensing fee in the Medicaid program while reimbursing pharmacies for ingredient cost based on the NADAC, or a flat WAC when no NADAC is available. These bills are vital in fighting DHS's proposal to cut pharmacy Medicaid reimbursement. Click here to message your state legislators asking them to co-sponsor and support these vital bills.

 

Step 2: Call your state legislators

Calling your legislators directly is significantly more powerful than simply sending an email. Click here to call your state legislators and urge that they oppose cuts to pharmacy!

 

Step 3: Schedule an in-person meeting with your state legislators

The best form of advocacy is meeting in-person with your legislator. Click here to find the name, office address, and office phone number of your state legislators. Then call their district office to schedule an in-person meeting with the legislator so you can discuss these issues in detail.

 

When meeting with your state legislators we encourage you to use the provided talking points to assist you in your conversation:

 

Click here for talking points to use when meeting with your state legislators.

 

Additionally, we ask that you leave behind the following issue briefs for legislators to examine:

 

Click here to issue briefs to share with your state senator and click here for issue briefs to share with your state representative.

 

Step 4: Discuss with your patients

Patients need to understand the detrimental effect these proposals would have on them. Print the following flyers to share with your patients urging them to contact their legislators.

 

Click here for a full-page flyer or click here for a third-page flyer that you can edit by putting in the name of your pharmacy, your logo, the name of your legislators, and your legislators' phone numbers. Then share this flyer with your patients and urge them to contact their state legislators.

 

Click here for a generic full-page flyer or click here for a generic third-page flyer that you can share with your patients to urge them to contact their state legislators.

 

 

 

For questions, contact Jeff Stuby.

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