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Manufacturer Restrictions on Contract Pharmacies

Year Developed: 2022

Resource Type: Publication.

Primary Audience: Administrative Staff; Board of Directors; C-Suites (Ceos, CFOs, CIOs, CMOs, COOs, etc.); CLinicians; PCAs
Secondary Audience: Enabling Staff; Outreach Staff

Language(s): English

Developed by: National Association of Community Health Centers (See other resources developed by this organization).

Resource Summary: This NACHC Brief explains how Gilead’s new “Contract Pharmacy Integrity Initiative” leads to manufacturer restrictions which require health centers and other covered entities to provide claims-level data from contract pharmacies. Merck has recently included Federally Qualified Health Centers (FQHCs) in their contract pharmacy restrictions when previously only hospital covered entities were impacted. Restrictions do not apply to in-house/entity owned pharmacies.

Resource Topic: Finance, Governance, Operations

Resource Subtopic: Policy and Advocacy, —Special and Vulnerable Populations.

Keywords: Communication, Transparency, and Outreach, Contracting, Fees and Charges, Legal Issues, Partnerships, Payment and Reform, Policies and Procedures.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.