Legal Question in Business Law in Virginia
Is there a conflict of interest for an insurance company which owns its own mail order pharmacy participating in Medicare-D as both the insurer and provider and setting prices for reimbursement of pharmacy services?
The specific concern stems from the reimbursement schedules being offered by said insurer being below cost for a retail pharmacy when providing >30 day supplies of medications to its patients. Large chains and mail-order pharmacies often are able to purchase at prices which are not available to independent pharmacies. In the early discussions about Medicare-D it was suggested that independent pharmacies would be allowed to participate on a level playing field with chains and mail-order pharmacies. However, this seems to nolonger be the case as the practices seem to be discrimatory.
1 Answer from Attorneys
If the Medicare-D consumer and the government are both benefiting from lower costs due to this particular arrangement, I would doubt that anyone would be complaining or calling for an investigation except, perhaps, the independent pharmaceutical retailer with the higher priced products.
Related Questions & Answers
-
Can a company come into my company and take merchandise purchased from another... Asked 8/20/09, 11:22 am in United States Virginia Business Law
-
Would I need to change anything in my LLC (ex. My Tax id's submitted business... Asked 8/18/09, 12:05 am in United States Virginia Business Law
-
I was recently fired from my job I worked independently at different locations... Asked 8/12/09, 1:49 am in United States Virginia Business Law
-
I had gotten a gift certificate for Christmas at a salon here in town. The salon is... Asked 8/04/09, 11:36 am in United States Virginia Business Law
Looking for something else?
10,200 active attorneys ready to answer your legal questions today.
Featured Attorneys
Earn additional revenue and grow your business.
