State Regulation of Third-Party Programs
The proliferation of third-party programs puts pharmacies and their suppliers
at financial risk if the viability and reasonable business practices of these
programs are not ensured. HDMA supports legislation requiring private third-party
prescription programs to register with the state insurance commission and post
a performance bond. Further, all third-party programs should be required to provide
pharmacies with adequate notice of program changes, pay interest on claims not
paid in accordance with contractual agreements, update product price reimbursement
levels monthly, have a due process procedure for disputed claims, and involve
pharmacies in the construction of provider agreements.
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