Senator wants to ban pharmacy middlemen from Kentucky Medicaid program

Senator wants to ban pharmacy middlemen from Kentucky Medicaid program

, Louisville Courier JournalPublished 2:14 p.m. ET Jan. 28, 2020 | Updated 4:18 p.m. ET Jan. 28, 2020

 

FRANKFORT — Fed up with complaints about corporate middlemen who handle prescription drug claims, a state senator filed a bill Tuesday to exclude them from the state Medicaid plan.

Sen. Max Wise, a Campbellsville Republican, said Senate Bill 50 would require Kentucky's Medicaid program to pay pharmacies directly for prescription drugs, bypassing the managed care companies that handle the majority of the state's Medicaid business.

"We, as a state, have to regain control over pharmacy benefits," said Wise, who added that drugstores, especially in small towns and rural areas, are suffering under the pricing and reimbursement practices of companies known as pharmacy benefit managers, or PBMs. Read more...