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PSSNY is working tirelessly with our partners to fight the unfair treatment of PBMs towards community pharmacies.  We are only able to continue this fight because of your support and generosity. By contributing to this campaign, you'll help ensure that our work continues. Donations are quick and easy, using our secure credit card transactions.

If you would like to make a contribution of a different amount, please contact staff@pssny.org or call 800-632-8822Please do not send credit card details via email.  Printer-friendly contribution forms can be downloaded here.

 

 


UPDATE AS OF JUNE 20, 2018

PSSNY was instrumental in passing of the following bills into law in the 2018 Legislative Session:

eliminateEliminate gag clauses in PBM-pharmacy/PSAO contracts
Effective date: April 1, 2018
It is important to note that before the 2018 NYS budget became final, legislation was introduced in both houses (A8781 Rosenthal/S6940 Hannon). The bill had passed the Assembly in early February and its language first appeared in the Senate One-House Budget proposal before becoming part of the final enacted budget
Next Step: PSSNY will work with Department of Health on enforcement.

prohibitcopayProhibit co-pays higher than drug cost and clawbacks.
Effective date: April 1, 2018
As PSSNY made PBM clawbacks news, legislation was introduced in New York (S6254 Hannon/A7504 Rosenthal) and its provisions were enacted as part of the final 2018 budget even before the bills moved through the insurance committees.  
Next Step: PSSNY will work with Department of Health on enforcement. 

standardsfairauditStandards for fair pharmacy audits.
Effective date: April 1, 2018
The section of Public Health Law enacted as part of the 2018 budget is another example of legislation that had been moving in both houses (S2763-A Golden/A6733 Lavine) before it was incorporated into the State budget and become law.
Next Step: PSSNY will work with Department of Health on enforcement. 

 

PSSNY initiatives introduced by legislators.

  • License and regulate PBMs (A10985 Gottfried/S8934 Rivera)
  • Strengthen current MAC appeal law (S5623 Hannon/A4717-A Rosenthal)
  • Remove barriers in NYS Insurance law that still allow mandatory mail order (S1743 Golden/A3119 Joyner)
  • Medication Synchronization in Commercial Insurance (S5196-B Lanza/A4306-B Quart)
  • Medication Synchronization in Medicaid (S5622-A Hannon/A7492-A Gottfried)
  • Make pharmacist-immunizers permanent, add all CDC-approved vaccine for adults (A455 Paulin)
  • Comprehensive Medication Management (A8664-A McDonald/S7682 LaValle)
  • Authorize partial-fills of controlled substance prescriptions at the patient's request (S8342 Hannon/A10392-A McDonald)
  • Authorize pharmacists to perform CLIA-waived tests (S8960 Griffo)
  • Pharmacy technician registration and/or certification (S5584-B Griffo/A4611-B Englebright)
  • Add hepatitis A and B to the list of vaccines available from pharmacists (A9073-A Gottfried/S321-A Robach)

PSSNY opposed and defeated the following proposal.

  • Surcharge on the first sale of opiate medications in New York

PSSNY opposed the following legislation

  • Pharmacies to be opened in substance abuse or behavioral health clinics (S7042-A Ortt/A10092 Gottfried)

PSSNY testified at the:

  • Joint legislative hearing on the Medicaid and Health Budget
  • Assembly hearing on the Caremark-Aetna merger
  • Senate Task Force on Heroin hearing regarding access to opioid antagonists
  • Assembly Health, Insurance and Substance Abuse Committee hearing on availability of opioid overdose reversal drugs

UPDATE TO THE REIMBURSEMENT SITUATION - 12/12/17

The announcement of the CVS/Aetna merger has solidified our need to continue to address PBM issues. 
 
FTC Comment Letter on CVS/Aetna Merger
PSSNY collaborated with the National Alliance of State Pharmacy Associations (NASPA) on a comment letter in response to the Federal Trade Commission's Workshop, "Understanding Competition in Prescription Drug Markets: Entry and Supply Chain Dynamics".  NASPA promotes leadership, sharing, learning, and policy exchange among state societies and pharmacy leaders nationwide.
 
Media Coverage
PSSNY continues to develop media interest in pharmacy. We are looking for members who have stories to share that either focus on business issues or great patient care. Please tell us your stories here. http://www.pssny.org/surveys/?id=Call_for_Stories
CVS/Caremark Communication
CVS/Caremark has confirmed that they have declined PSSNY's request to allow pharmacies to rebill claims from the October 26 - November 18, 2017, time period.
 
CVS/Caremark maintains that it is in compliance with New York State's MAC appeal law and is allowing for approved appeals to be reprocessed so there is no need to address the denied claims from that time period.
 
For specific MAC appeal claim issues, call CVS/Caremark's Pharmacy Help Desk at 1-847-559-3977.  This will create a tracking process for your claims.
 
If you are experiencing general issues or contract problems, call CVS/Caremark at 1-866 488-4708.  
 
Help PSSNY save community pharmacy! Donate to the Campaign today! PSSNY.org/FightPBMs