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Medicare & Medicaid

Academy of Managed Care Pharmacy advocates changes in CMS Formulary Guidance

Published in Drug Law Weekly, April 11th, 2006

The Academy of Managed Care Pharmacy has issued a letter of comment to the Centers for Medicare & Medicaid Services (CMS) that outlines its objections and offers suggestions to improve the effectiveness of the CMS Draft 2007 Formulary Guidance.

Primary among the Academy's objections is the fact that many of the stipulations outlined in the CMS Draft Guidance are counter to "best practices" normally followed in the private sector. The Academy believes closer adherence to recognized best practices would enhance pharmacy coverage for beneficiaries and achieve greater cost efficiencies for both plan sponsors and CMS. Of key concern is CMS' stipulation that "all or...

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