Drug plan a bitter pill
Some independent pharmacists fear Part D will cause them to close or sell their business
By Keith Darcé
STAFF WRITER
June 4, 2006
No one said adding prescription drug coverage to the federal government's health insurance program for seniors would be easy. But the headaches created by the biggest change ever made to Medicare are proving unexpectedly taxing for pharmacists.
While the program, known as Part D, appears to be producing savings for many seniors and higher profits for private insurance companies, pharmacists say those benefits are coming at their expense.
Hardest hit are independent pharmacists, who already were struggling to compete against growing competition from national chain operators and retailers such as Rite-Aid and Wal-Mart... Pharmacists say they are spending costly hours on the telephone wrestling with drug plan operators over restrictions on higher-priced pharmaceuticals.
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The problem is squeezing pharmacists – especially independent drugstore operators who cater to low-income customers – in ways most hadn't anticipated, said Kristina Lunner, senior director of government affairs for the American Pharmacists Association in Washington, D.C... Pharmacists aren't alone. Some physicians are facing similar frustrations.
Dr. Joseph Scherger recently suggested changing the drug regimen of an 85-year-old patient who suffers from diabetes. The UCSD Medical Center physician wanted to swap the three insulin pills that the man takes twice a day with a single insulin shot. But Scherger didn't make the change because the patient's Part D drug plan did not cover the injected medication, and the elderly man couldn't afford to pay for the treatment out-of-pocket.
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