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Independent pharmacies struggle with low payments, confusing fees

We re different. Whole Health is the only independent pharmacy on Cape Cod, an increasingly rare type of business that a study released last month indicates has been facing an uphill fight in a David vs. Goliath battle. The study by the Massachusetts Independent Pharmacists Association concluded that reimbursement to the state s independent pharmacies was inadequate. Loopholes in the overall Massachusetts Managed Care Program, mandatory steering of customers to mail-order specialty pharmacies, low dispensing fees and retroactive discounts have put independent pharmacies in a financial bind, according to the study. Furthermore, it found that taxpayers were overcharged an estimated $25 million for MassHealth Managed Care claims from 2018-19.

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