Take advantage of the opportunity to combine your voice with fellow
pharmacy owners in a "grass-roots" effort to enlighten New York State
legislators about the challenges that we face every day. Join us in
Albany on March 4th for Independent Pharmacists & Owners Lobby Day,
when we remind law-makers that small business is truly the "engine of
the American economy", and that the legislation we seek will ensure that
our patients (their constituents) will be able to get the best care at
our local independent pharmacies. Please join the cause that protects
our businesses and our patients.
This year the issue that we
will focus on include:
Protect community pharmacies from another deep
Medicaid cut by amending Social Services Law
Associations representing every pharmacy in New York – chain, independent and
institutional – are asking the legislature for protection from a steep and
destabilizing reimbursement cut.
Health Department officials will
take administrative action in 2014 unless the law is changed to prevent that
action. We ask the Legislature to act during budget negotiations.
At issue: The lowest pharmacy reimbursement for Rx drugs among all 50
on inaccurate "Average Acquisition Cost” set by the NYS Health
Department which is lower than most pharmacies’ actual cost for Rx drugs.
fees that are far too low to cover overhead.
the new AAC-COD reimbursement was initially proposed solely for Fee for Service Medicaid, the Department is seeking the inclusion of Medicaid managed care, a move that will negatively impact recipients access to community
pharmacies, both independent and chain.
adopted, NY AAC becomes a published benchmark and
Pass legislation to address the issue of generics being paid
below net cost due to PBM delays in updating MAC price lists
At issue: PBM
delays in updating MAC lists causes many generics to be paid below the
pharmacy's net cost. NOTE: This bill will help with current issues constantly
encountered by PBMs like CVS/Caremark and how they affect NYSHIP
would ensure that MAC lists are updated weekly.
would assure pharmacies would have an administrative process to
retroactively adjust those claims that
were paid improperly.
Pass legislation to strengthen Anti-Mandatory Mail Order Law
A5723-A Heastie/S3995-A Maziarz
law is not working as the legislature had originally intended.
Benefit Managers set "Terms and Conditions” that are inappropriate
for pharmacies in a community retail environment.
are being steered to mandatory mail programs in clear disregard for state law
that protects their right to choose a local pharmacy.
network pharmacies are being blocked by PBMs from
filling prescriptions for covered drugs.
ü New York consumers
have filed many complaints to the Attorney
this bill to amend the law so that it works for New Yorkers.
To win these battles, pharmacists from
every region of New York need to be in Albany on Tuesday, March
**TALKING POINTS NOW AVAILABLE**
Legislative Process in NY
Click here for directions.