CVS scraps plan to cut payments to 340B providers

CVS Pharmacy
340B hosptials cheered CVS' announcement that it would scrap plans to cut payments to participating pharmacies. (Getty/Serenethos)

CVS Caremark has put the brakes on a plan to cut payments to 340B providers. 

CVS Caremark issued two amendments to its provider manual in November, one of which would potentially deny pharmacies that contract with 340B providers rebates for drugs in the program, as it would not be considered a retail purchase. 

In January, CVS delayed those changes to April 1. However, a corporate spokesperson confirmed to FierceHealthcare that the plans have been scrapped altogether. 

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2019 Drug Pricing and Reimbursement Stakeholder Summit

Given federal and state pricing requirements arising, press releases from industry leading pharma companies, and the new Drug Transparency Act, it is important to stay ahead of news headlines and anticipated requirements in order to hit company profit targets, maintain value to patients and promote strong, multi-beneficial relationships with manufacturers, providers, payers, and all other stakeholders within the pricing landscape. This conference will provide a platform to encourage a dialogue among such stakeholders in the pricing and reimbursement space so that they can receive a current state of the union regarding regulatory changes while providing actionable insights in anticipation of the future.

CVS Caremark is “in the process of notifying the pharmacies that would have been affected by the changes,” the spokesperson said. 

RELATED: CVS Caremark shifts PBM model to 100% pass-through pricing and focus on net cost 

That CVS was backpedaling on the plan was first reported by Modern Healthcare, which obtained a copy of an internal memo sent earlier this week that said pushback from 340B pharmacies led the company to change its mind. 

“Many pharmacies reached out and engaged us in very good conversations,” the memo said. 

340B providers cheered the decision. In a statement, Maureen Testoni, CEO of 340B Health, which represents more than 1,300 providers in the program, said the group was “very pleased.” 

The discounts through the 340B program help hospitals provide care to patients who have “nowhere else to turn,” she said. 

“This is a welcome change, and our members appreciate the fact that CVS Caremark listened to their concerns and responded appropriately,” Testoni said. 

340B hospitals also scored a significant win in December, when a federal judge ruled that the Department of Health and Human Services overstepped its legal authority in significantly cutting payments to the program. 

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