APhA Policy Manual

Ensuring Access to Pharmacists' Services

FEDERAL PROGRAMS AND POLICIES PHARMACEUTICAL CARE PHARMACY PRACTICE RECORD SYSTEMS REIMBURSEMENT AND COMPENSATION

Pharmacists are health care providers who must be recognized and compensated by payers for their professional services under medical benefit payment structures.
APhA supports integration pharmacists' provision of health care services into existing standardized processes under the medical benefit.
APhA affirms that pharmacists’ must be compensated for their services consistent with the processes of, and in parity with, other health care providers.
APhA advocates for the development and implementation of a standardized credentialing process for compensation of pharmacist services.
APhA advocates for pharmacists’ access and contribution to clinical and claims data to support treatment, payment, and health care operations.
APhA supports the integration of pharmacists’ service level and outcome data with other health care provider and claims data.
APhA advocates for the in-network inclusion of pharmacists under medical benefits to increase access to health care services.
APhA opposes policies or practices that prevent or undermine billing for pharmacist-provided services under the medical benefit by any health plan, payer, pharmacy benefit manager (PBM), or other entity.