Mail-Service Pharmacy Savings and the Cost of Proposed Limitations in Medicare and the Commercial Sector
September 2006
Pharmaceutical Care Management Association
This report, commissioned by the Pharmaceutical Care Management Association, describes the effect that selected legal or regulatory interventions could have on the economics of mail-service pharmacy, and provides estimates of the impact of these interventions on pharmacy costs for consumers and payers. These interventions include:
Any willing pharmacy laws which mandate the inclusion of pharmacies from a plan's network as long as the pharmacy is willing to meet the standard network terms, conditions and pricing
Uniform cost sharing requirements whereby consumers' out-of-pocket expenditures are required to be the same regardless of whether a prescription is filled at a mail or retail pharmacy
Required 90-day prescriptions at retail laws mandating that plans cover 90-day prescriptions at retail pharmacies