The D.C. Circuit recently upheld a Department of Defense (DOD) rule that will require drug manufacturers to provide partial refunds on certain prescription drugs, dating back to 2008. The rule that was the subject of the case imposes a cap on the retail price of drugs and requires manufacturers to refund the difference between the
TRICARE
OPPS for TRICARE Program
By Debra A. McCurdy on
The Department of Defense (DoD) has published a notice that it is proceeding with implementation of its December 10, 2008 final rule establishing a prospective payment system (PPS) for TRICARE hospital outpatient services, similar to the Medicare hospital outpatient PPS (OPPS). The effective date had been extended from February 9, 2009 until May 1,…
Payment for TRICARE Retail Pharmacy Drugs
By Debra A. McCurdy on
On March 17, 2009, the Department of Defense (DoD) published a final rule to implement provision of the National Defense Authorization Act (NDAA) for Fiscal Year 2008 regarding payment for drugs under the TRICARE Retail Pharmacy Program. Reed Smith is preparing an analysis of the rule, which will be available in the near future on …
TRICARE Hospital Outpatient Services Rule Delayed
By Debra A. McCurdy on
On February 6, 2009, the Department of Defense published a notice delaying the effective date of its December 10, 2008 final rule implementing a prospective payment system (PPS) for TRICARE hospital outpatient services, similar to the Medicare hospital outpatient PPS. The effective date has been extended from February 9, 2009 until May 1, 2009 as …