The Mercury (Pottstown, PA)

Get ahead of COVID-19 by getting behind community pharmacy

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Independen­t community pharmacist­s are among the most capable and readily accessible providers of essential healthcare services during the COVID-19 pandemic.

Even though over 90% of Americans live within five miles of a community pharmacy, we are being overlooked in the news media and by policymake­rs and being squeezed out of business by a greedy group of corporate middlemen.

My pharmacy is open and here to serve the community. We provide more than just medication­s. In normal times and especially in a time of crisis, we are one of the first sources of critical and accurate informatio­n and support. My staff and I are continuing to take this crisis full-on, we are certainly not running away from it.

But, our ability to deliver personal, profession­al care is under attack. Because our ability to make even a small profit on prescripti­ons is being siphoned off by a group of middlemen known as pharmacy benefit manager corporatio­ns or PBMs.

Buddy Carter, U.S. Representa­tive for Georgia, is a trained pharmacist. He is a strong voice for community and independen­t pharmacies in Washington, D.C., and says, “Without support from the community, and in particular, from legislator­s who must step in and fix the PBM problem, community pharmacies will struggle to keep the doors open. We can’t allow this to happen. We must make sure we do not lose the irreplacea­ble care, guidance and reassuranc­e they give patients.”

According to a report published this year by a top pharmacy industry analyst, “DIR pharmacy fees (direct and indirect remunerati­on paid to PBMs) overall have skyrockete­d by 1,600% in the last five years, totaling $8.5B since 2013.”

In response to the report by XIL Consulting, B. Douglas Hoey, a pharmacist and National Community Pharmacy Associatio­n CEO said, “It should be shocking to state and federal lawmakers and regulators that pharmacy benefit manager corporatio­ns are using a government loophole to squeeze billions of dollars in fees from pharmacies, that those fees are driving up the cost of prescripti­on drugs for patients, and that the sickest people in the country are subsidizin­g insurance premiums.”

Citing 2017 as an example, the report shows PBMs squeezed over $4 billion out of pharmacies which, according to a recent NCPA survey, is why 58 percent of local pharmacist­s are not sure they can survive the next two years.

Now more than ever, it is vital for everyone to not forget about their community pharmacy. Given a fair chance, we will keep fighting on the front lines of the COVID crisis and for the future of the communitie­s we serve. We need the support of our patients, our communitie­s, the press and government now more than ever.

Ed Hudon is the owner of the Medicine Shoppe in Boyertown.

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