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APhA Policy Manual

Medicare Task Force: Policy Guidelines


The following guidelines supplement those adopted by APhA in 1967:

    1. Provide for beneficiary contribution toward program financing.
    2. Provide for government reimbursement of claims directly to the pharmacist.
    3. Compensate pharmacists by means of a professional fee commensurate with the level of professional service performed in addition to making reimbursement for the cost of the drugs.
    4. Establish a per-prescription, fixed amount (co-payment) which must be paid by the beneficiary when obtaining drugs.
    5. To assure patients of receiving safe and effective drugs, establish a list of reimbursable amounts for each drug based on a nationally available product of acceptable quality and cost.
    6. Include all drugs having therapeutic use, whether for chronic or acute conditions.
    7. Include all persons eligible for Part B Medicare coverage.
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