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CVS Caremark and Express Scripts Holding Co. have claimed that they don't use clawbacks,
西維斯公司和快捷藥方公司聲稱，他們沒有回扣行為，
but in a lawsuit filed against CVS Health Corp., plaintiff Megan Schultz stated that the practice was part of both PBMs' agreements with CVS pharmacies.
但在一起針對CVS Health Corp.的訴訟中，原告梅根·舒爾茨表示，藥品利益管理機構與西維斯藥店協議里有這方面的內容。
Many plans require pharmacists to collect payment when prescriptions are filled and prohibit them from waiving or reducing the amount.
協議規定，藥劑師在配藥時收取費用，并嚴禁他們放棄或減少費用。
Pharmacies who contract with -OptumRx, for instance, could be terminated for "actions detrimental to the provider network,"
例如，根據2016年藥品福利管理公司的提供者手冊，藥店若有任何“有損于醫療護理提供者網絡”的行為
doing anything that "disparages" it, or trying to "steer" customers to other coverage or discounted plans, according to OptumRx's 2016 provider manual.
做任何“貶低”，或者試圖“引導”客戶轉向其它保險或折扣計劃，其與藥品福利管理公司的合約就會被終止。
"They're usually take-it-or-leave-it contracts," says Mel Brodsky, Executive Director of the Philadelphia Association of Retail Druggists.
費城零售藥店協會的執行董事梅爾·布羅斯基表示：“他們通常有兩個選擇，要么接受要么放棄?！?/div>
Independent pharmacies in particular fear getting removed from re-imbursement networks, a potential death blow in smaller communities.
獨立藥店尤其害怕從醫療護理提供者網絡中移除，這對較小的社區來說是一個潛在的致命打擊。
A survey of 640 independent community pharmacists by the National Community Pharmacists Association found that 83 percent of the respondents see at least ten clawbacks a month.
美國國家社區藥劑師協對640名獨立社區藥劑師的調查發現，83%的受訪者每個月至少會收到10筆回扣。
"I've got three drugstores, so I see a lot of it," David Spence, a Houston pharmacist, says.
“我和三家藥店合作過，所以我了解，”休斯頓藥劑師大衛·斯賓塞說道。
"We look at it as theft—a way for the PBMs to steal."
“我們認為藥品利益管理機構的做法屬于偷竊行為?！?/div>
Many legislatures are responding.
許多立法機構正在作出回應。
At least 13 states have enacted laws prohibiting "gag clauses" that prevent pharmacists from telling customers about clawbacks;
至少有13個州頒布了禁止言論條款，藥劑師不允許向顧客透露有關藥品回扣的信息；
at least 22 additional states have similar laws pending.
至少有22個州也在等待頒布這樣的法律。
In the meantime, when customers question their co-pay amounts, some pharmacists jump at the opportunity to explain how they can pay less.
與此同時，當顧客質疑他們的合作付款金額時，一些藥劑師趁機向他們解釋如何能支付得更少。
"Most don't understand," says Spence. "If their co-pay is high, then they care."
“大多數人都不明白，”斯賓塞說?！叭绻献鞲犊顢殿~高的話，人們就會關心。”
| 重點單詞 | 查看全部解釋 | |||
| additional | [ə'diʃənl] |
想一想再看 adj. 附加的，另外的 |
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| potential | [pə'tenʃəl] |
想一想再看 adj. 可能的，潛在的 |
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| composed | [kəm'pəuzd] |
想一想再看 adj. 鎮靜的，沉著的 |
聯想記憶 | |
| prevent | [pri'vent] |
想一想再看 v. 預防，防止 |
聯想記憶 | |
| independent | [indi'pendənt] |
想一想再看 adj. 獨立的，自主的，有主見的 |
聯想記憶 | |
| detrimental | [.detri'mentl] |
想一想再看 adj. 有害的 n. 有害的人或事 |
聯想記憶 | |
| collect | [kə'lekt] |
想一想再看 v. 收集，聚集 |
聯想記憶 | |
| manual | ['mænjuəl] |
想一想再看 adj. 手工的，體力的 |
聯想記憶 | |
| particular | [pə'tikjulə] |
想一想再看 adj. 特殊的，特別的，特定的，挑剔的 |
聯想記憶 | |
| opportunity | [.ɔpə'tju:niti] |
想一想再看 n. 機會，時機 |
