Dr. Fair Jones · Pharmacy Podcast Network · PBM Impact on Independent Pharmacy Owners | PBM Reform
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Set up a block in the pharmacy system to flag any prescription that would be dispensed below a certain profit threshold for a second review
“The rise of intra-EHR prescribing networks, Willow Pharmacy as an example, where a given site will have both the prescriber and the pharmacy dispense system within the same system”
“Reimbursement on DOL, Department of Labor, is minus 88 percent. How can a pharmacy dispense that medication at minus 88 percent of AWP?”
“We set each monitor's threshold so that exactly 2% of honest held-out transcripts, pooled across all checkpoints, are flagged.”
“Having the controls in place to aggregate that ownership for you and be able to flag it… when the ownership does cross that 50% threshold”
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