Pharmacy Billing for Contraception

Executive Summary

This white paper provides an overview of the systemic and individual payer-based barriers to full implementation of pharmacist prescribing policies. Barriers analyzed include the division of medical and pharmacy benefits, complex billing technology, the constant need for payer guidance, and lack of clarity from agencies within the U.S. Department of Health and Human Services. This white paper also makes concrete recommendations for payment reform in order to overcome these barriers and realize the full benefit of pharmacy prescribing of contraception.

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