340B covered entities say they are deeply concerned about pharmacy benefit manager Express Scripts’ (ESI) requirements, effective Monday, governing what pharmacies in the PBM’s network must do when they identify that a previously submitted claim is 340B-eligible. Last night, ESI told 340B Report that the change is minor and that adequate notice has been provided to covered entities and their pharmacies. A number of covered entities disagree, however.
Entities say they are unsure that community pharmacies they contract with to dispense 340B-purchased drugs know about ESI’s new requirements and the March 1 deadline, and are able or willing to comply. If 340B contract pharmacies can’t or won’t comply, entities worry that they will be unable to access 340B pricing on drugs under contract pharmacy replenishment inventory systems, and could end up being billed at wholesale acquisition cost.
340B covered entities say they are deeply concerned about pharmacy benefit manager Express Scripts’ (ESI) requirements, effective Monday, governing what pharmacies in the PBM’s network must do when they identify that a previously submitted claim is 340B-eligible. Last night, ESI told 340B Report that the change is minor and that adequate notice has been provided to covered entities and their pharmacies. A number of covered entities disagree, however.
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