Chiquita Brooks-LaSure (Caroline Brehman/CQ Roll Call via AP Images)

Sen­a­tors call on CMS to fi­nal­ize phar­ma­cy fee re­forms to save se­niors $21B in out-of-pock­et ex­pens­es

A bi­par­ti­san group of 30 US sen­a­tors from both sides of the aisle sent a let­ter ear­li­er this week to Chiq­ui­ta Brooks-La­Sure, head of the Cen­ters for Medicare and Med­ic­aid Ser­vices, urg­ing her to fi­nal­ize cer­tain phar­ma­cy fee re­forms that could sig­nif­i­cant­ly save se­niors in out-of-pock­et ex­pens­es.

As so-called di­rect and in­di­rect re­mu­ner­a­tion (DIR) fees have grown by more than 107,000% in a decade, the sen­a­tors are call­ing on CMS to fi­nal­ize a pro­posed rule that would tweak DIR fees in a way to “re­duce se­niors’ out-of-pock­et pre­scrip­tion drug costs by $21.3 bil­lion over 10 years.”

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