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PhRMA Urges Caution In Implementing Part D “Trial-Size” Prescriptions

 
• By Gregory Twachtman

The Pharmaceutical Research and Manufacturers of America, as well as pharmacy and PBM groups, recommend that CMS test its proposed policy to institute trial-size prescriptions before implementing it on a widespread basis to Medicare Part D.

The Pharmaceutical Research and Manufacturers of America is asking CMS to take a closer look at its proposal to mandate that Medicare Part D plan sponsors offer a “trial size” of first-fill prescriptions and a mandate that the cost-sharing be prorated based on the daily cost of the drug, or offer smaller prescriptions to allow synchronization of refills of multiple therapies.

The proposal was included in a broader proposed rule that CMS issued in October 2011 to update the Medicare Part D and Medicare Advantage programs for 2013. CMS said the...

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