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News & Press: Breaking News

WSJ: US Targets Pharmacies Over Soaring Claims to Military Health Program

Monday, November 09, 2015   (0 Comments)
Posted by: Dagmar Anderson
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IACP's David G. Miller Executive Vice President/CEO is quoted in today's The Wall Street Journal, "US Targets Pharmacies Over Soaring Claims to Military Health Program."


"David G. Miller, chief executive of the International Academy of Compounding Pharmacists, said fraud is only a small reason for increased use of compounded medicines. A bigger factor, he said, is that doctors have become wary of patients abusing opioid pain pills and, as a result, have turned to alternative, nonaddictive treatments such as compounded pain creams."


Read Entire Article

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What WSJ didn't include from Miller's interview is his statement below:

"The increase in per claim compound prescription costs to Tricare had been evident to its pharmacy benefit management contractor Express Scripts (ESI)  for more than a year.  All other prescription drug programs have a computer infrastructure to limit excessive billings yet ESI continued to accept and pay claims without rejecting them or requiring additional information from the pharmacy provider.  That's what happens in all prescription benefit plans for branded and generic drugs but, for whatever reason, ESI did not do that for compound prescription claims."


IACP's Prescription Billing Accounting Statement


Click here to read IACP's Statement.

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