DIR Fee Changes Coming in 2024: The Pros and Cons for Independent Pharmacies
Digital Pharmacist
APRIL 25, 2023
Originally intended to incentivize pharmacies to provide high-quality care, they have instead become a source of revenue for PBMs. Between 2010 and 2020, CMS reported (ยง 423.100) that retroactive DIR fees increased by an astonishing 107,400%. The increase in DIR fees has had a significant impact on independent pharmacies.
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