NACDS applauds rule on DIR fee transparency


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Industry seeks more extensive reforms

ARLINGTON, Va. — NACDS on Monday expressed appreciation for a new federal rule that will aid to cut down seniors’ out-of-pocket prescription drug costs by enhancing transparency of exorbitant direct and oblique remuneration (DIR) service fees imposed by payers on pharmacies. NACDS insists that extensive DIR price reform now relies upon on even more legislative and regulatory motion to strengthen predictability, fairness, and viability for pharmacies. 

Steve Anderson

Steve Anderson


The new rule – Medicare Application Deal Calendar year 2023 Plan and Specialized Adjustments to the Medicare Edge and Medicare Prescription Drug Reward Courses – was finalized by the Facilities for Medicare & Medicaid Products and services (CMS) on Friday. The rule’s provisions affecting DIR costs will acquire result January 2024. 

NACDS president and CEO Steven Anderson mentioned: “NACDS commends CMS for initiating long-overdue reform of these dire DIR fees in a way that will gain seniors. It is critically critical that there be no additional delays. Even further, NACDS phone calls on Congress and on CMS to accomplish swiftly the extra extensive reforms that are crucial for pharmacy viability and for patient access. The professional-individual and professional-pharmacy work that remains includes the institution of standardized pharmacy good quality steps, which deserves an immediate legislative remedy. 

“We take pleasure in that CMS finalized this rule, and improved the proposed rule in accordance to some of NACDS’ suggestions in our feedback. CMS took action to address transparency for all components of Medicare – including prescriptions loaded for patients in the ‘coverage gap.’ It is vital for added regulatory guardrails to be place into place and to reduce any unintended implications that could hurt people and pharmacies alike. 

“NACDS also many thanks the customers of Congress, affected person groups, service provider groups, pharmacy allies, and others who have collaborated to deliver to the forefront the incredibly critical difficulty of DIR price reform. In advance, we thank you for your ongoing resolve to construct on this momentum. NACDS pays tribute to the numerous NACDS member firms of all formats and measurements that engaged with passion – specially through the NACDS RxIMPACT grassroots advocacy plan – to voice the need for DIR fee reform and to assist make probable this achievement. Ongoing engagement, vigilance, and outcomes will be vital for seniors and for the pharmacies of all measurements and formats that provide them.” 


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