Ohio Pharmacists Need Relief from Abusive Audits that Undermine Patient Care

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Alexandria, Va. Jan. 22, 2014 - Both patient care and state revenue are suffering due to abusive audits of Ohio's independent community pharmacists, who support a new legislative proposal to fix the problem, the National Community Pharmacists Association (NCPA) said today. The organization sent a letter to state legislators in support of the recently introduced S.B. 258.

"It should not be a punishable offense when a pharmacist dispenses the right medication as prescribed to the right patient at the right time and for the agreed-upon reimbursement," said NCPA CEO B. Douglas Hoey, RPh, MBA. "Yet across the Buckeye State, pharmacists are struggling with egregious audits focused on hyper-technical clerical issues. These time-consuming reviews limit pharmacists' ability to care for patients. In addition, auditors seek any excuse, no matter how small, to take thousands of dollars away from pharmacies and local communities and send them out-of-state to Fortune 500 pharmaceutical middlemen."

NCPA's letter noted the following:

  • Rather than legitimately using the audit process to guard and protect against fraud, many pharmacy benefit managers (PBMs) view audits as a profitable revenue stream for their company.

  • Community pharmacies are often forced to pay thousands of dollars as the result of an audit for nothing more than basic administrative or typographical mistakes, many of which are not the fault of the pharmacist or pharmacy staff.

  • Twenty-nine other states have recently enacted bipartisan legislation similar to S.B. 258 to set reasonable standards for audits while letting them continue to target the rare incidences of fraud or abuse.

"We encourage Ohio lawmakers to support this legislation in the interest of patient care, Ohio's economy and basic common sense," Hoey added. "NCPA is proud to support the work of the Ohio Pharmacists Association and all Ohio pharmacists in this effort."

Ohio is home to more than 540 independent community pharmacies that employ approximately 5,435 residents.


The National Community Pharmacists Association (NCPA®) represents the interests of America's community pharmacists, including the owners of more than 23,000 independent community pharmacies. Together they represent an $88.7 billion health care marketplace, dispense nearly 40% of all retail prescriptions, and employ more than 300,000 individuals, including over 62,000 pharmacists. To learn more, go to www.ncpanet.org, visit facebook.com/commpharmacy, or follow NCPA on Twitter @Commpharmacy.

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