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Report

2021 Retail Pharmacy Reimbursement in Medicare Part D by Drug and Pharmacy Type

4 June 2024

For this report, recently commissioned by the Pharmaceutical Care Management Association, we take a close look at the 2021 retail pharmacy reimbursement in Medicare Part D by drug and pharmacy type. Retail pharmacy reimbursement at the point of sale differs by pharmacy type because of both the cost per drug and mix of drugs dispensed. Our report includes the following sections: 

  • Summary metrics by pharmacy type
  • POS reimbursement by pharmacy type and drug type
  • Specialty distributions by drug class
  • Cost per script for specialty drugs with the highest total allowed dollars

This report was commissioned by the Pharmaceutical Care Management Association (PCMA).


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