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Independent Pharmacists Warn Appropriations Panel PBM Reimbursement Models Threaten Community Pharmacies
Summary
Pharmacists and independent pharmacy owners told the committee that reimbursement below cost and PBM payment models are driving closures of community pharmacies, reducing access in rural counties and prompting requests for a fair dispensing fee and commercial-insurance reforms.
Jonathan Marquis, an independent pharmacist, and Kevin Woody, an independent pharmacy owner, told the committee that independent pharmacies are a safety net across Georgia and are at risk because many commercial reimbursements fall below dispensing costs. Marquis said pharmacies operate in 153 of 159 counties and that 42 counties rely solely on independents; "No business could operate like that," he said of reimbursements below cost.
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