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S. 2664

BillFederalSenateIn Committee
Pharmacy Access Improvement (PhAIm) Act of 2006
About This Bill
Committee
Latest Action · April 27, 2006
Read twice and referred to the Committee on Finance.
Congress
109th (2005–2007)
Introduced
April 27, 2006
Cosponsors (3)
3D 0R
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Summary

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Pharmacy Access Improvement (PhAIm) Act of 2006 - Amends part D (Voluntary Prescription Drug Benefit Program ) of title XVIII (Medicare) of the Social Security Act (SSA) with respect to participating pharmacies and standards for access to them. Requires that such standards ensure that enrollees residing in long-term care facilities have access to a long-term care network pharmacy. Requires prompt payment of clean claims to pharmacies by prescription drug plans (PDPs) and Medicare Advantage prescription drug plans (MA-PD Plans) Defines prompt payment as within 14 days from submission for claims submitted electronically, and within 30 days for claims submitted otherwise. Requires payment of interest, also, if a payment is not issued, mailed, or otherwise transmitted within the applicable number of calendar days. Directs the Secretary of Health and Human Services to establish a 24-hour toll-free telephone number dedicated to providing Medicare prescription drug benefit information to pharmacists and pharmacy staff. Amends SSA title XVIII to require PDP sponsors to establish toll-free pharmacy and physician and provider hotlines. Requires a PDP sponsor to utilize standardized technology for any communication or transaction occurring between the PDP and a participating pharmacy. Prohibits a Medicare prescription drug card issued by a PDP sponsor from displaying the name, brand, logo, or trademark (co-branding) of any pharmacy. Provides for submission of claims by pharmacies located in or contracting with long-term care facilities. Requires the Secretary to establish reasonable dispensing fees for covered Medicare part D drugs dispensed through participating pharmacies. Requires a PDP sponsor to encourage generic utilization by paying an increased dispensing fee for generic drugs.

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