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Missouri bill takes aim at rising drug costs and drug industry middlemen

JEFFERSON CITY, Mo. (KMIZ)

A bill filed in the Missouri Senate aims to modify the role of pharmacy benefit managers to combat rising drug prices and provide transparency for patients.

SB 971, sponsored by Sen. David Sater (R-Cassville), creates provisions relating to payments for prescription drugs.

The full text of the bill can be found here

Pharmacy benefit managers act as middlemen between drug manufacturers, insurance companies and pharmacies.

According to the Missouri Pharmacy Association, pharmacy benefit managers profit through "spread pricing," or the difference between what those companies charge the insurance provider and what they reimburse the pharmacy.

The pharmacy association also says those companies make money from rebates on drugs that are not passed along to consumers.

SB 971 would require all pharmacy benefit managers to file annual reports. The bill also requires any rebates to be passed along to the consumer instead of being kept by the pharmacy benefit manager or health carrier

Under the bill, benefit managers would not be able to redirect patients to specialty or mail-order pharmacies.

"I believe in the patient's right to be able to choose the pharmacy of their choice," Sater said. "A pharmacy that they have been using for years and years and years. I think it's ridiculous that they would take that choice away."

Sater expressed that this bill was about transparency and said the bill would also expose whether benefit management companies own pharmacies.

Missouri Pharmacy Association director Ron Fitzwater said the bill will meet stiff opposition.

"They create jobs and we all know the governor has really pushed on workforce development," Fitzwater said. "We've got issues we have to contend with, but the other issue is when a pharmacy closes, those jobs are gone forever."

Erica Crane, a pharmacist on the University of Missouri campus, said she sometimes has to tell patients they cannot provide certain medications because benefit managers took a certain drug off their list.

"It feels awful to have to tell a patient that they can't get the medication they've been on for the last 10 years," Crane said.

Check back here or watch ABC17 News at 5 for a full report.


Health / Jefferson City / Missouri / MO General Assembly / News / Politics / Top Stories

Connor Hirsch

Connor Hirsch reports for the weekday early evening shows, as well as Saturday nights.

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