TWO GROUPS that represent long-term-care pharmacies are suing the nation’s largest Medicare prescription-drug plan, claiming that since January-when the new Medicare drug-prescription plan began-they have been shorted millions of dollars in reimbursements for nursing home patients’ medications.
Long Term Care Pharmacy Alliance, a Washington-based industry group, and the American Society of Consultant Pharmacists of Alexandria, Va., a professional society, claim that UnitedHealth Group Inc. of Minnetonka, Minn., which administers the Medicare drug plan, should not have deducted long-term-care patients’ co-payments when reimbursing the pharmacies, because people in nursing homes are exempt from making co-payments. Long Term Care Pharmacy Alliance v. UnitedHealth Group Inc., No. 06cv1221 D.D.C..
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