In this week's Advocacy Update, NCPA reports on PAC fundraising, a move for CMS to finalize DIR guidance, TRICARE mail order requirements, and more!

CVS/caremark will implement a dispensing fee incentive for those LTC pharmacies that follow CMS guidance and also submit Med D brand and generic drugs as a 14-day or less supply. A maximum of 3 dispensing fees will be paid in a rolling 30-day period.

Inside this issue:

In some instances claims for LTC (Long Term Care) members have been approving for a day supply value that is greater than the plan’s LTC day supply limit of 31 days . Effective 1/1/2015, MedImpact will limit claims for LTC members up to the plan’s LTC day supply limit of 31 days (with the exception of smallest unbreakable packages, and any other day supply overrides being used by the plan for maintenance medications). In all other scenarios, the claim will deny if the day supply exceeds the plan’s LTC day supply limit. It is important to note that this logic will apply to all pharmacy types dispensing to LTC members (e.g., Retail, Mail Order, Specialty, etc.).