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News & Press: Breaking News

Fox 8 New Orleans: Zurik - Pharmacists, Customers Nationwide Coping with Clawbacks

Tuesday, May 17, 2016   (0 Comments)
Posted by: Dagmar Anderson
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The National Community Pharmacists Association's (NCPA) Doug Hoey is quoted in a Fox 8 New Orleans broadcast, Zurik - Pharmacists, Customers Nationwide Coping with Clawbacks.


"You're naturally assuming that your insurance is paying for part of the cost of the medication,” notes Doug Hoey, CEO of the National Community Pharmacists Association, a trade group that represents independent pharmacies.

Pharmacy benefit management firms actually dictate these clawbacks. Documents provided by multiple pharmacists show the PBM for United HealthCare, OptumRx, frequently overcharges for medication. Some pharmacists think the practice is most common with generic drugs and high deductible insurance plans.

"Most consumers don't know that you've got these middlemen called PBM's, like Optum or Catamaran, in the middle of the transaction,” Hoey says. "And they manage hundreds of billions of dollars.”


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