Angie Amado, PharmD
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 imposing dramatic up-front reimbursement cuts for contracted pharmacies.
In the early fall, KFF Health News reported, Express Scripts—one of the top three PBMs—sent out confidential