Pharmacy Audits

Are You a Pharmacy Facing a PBM Audit or Do You Need to Arbitrate in Response to Your PBM's Audit Findings?

Contact Us. We can help.

Frier Levitt Fights PBMs On Behalf of Pharmacies And Has Achieved Success in Audit Related Litigation

Frier Levitt is counsel to a recently certified national class action of pharmacies.  The goal of the class action is to curb PBM audit abuse and also seeks a financial recovery from the PBM.  Our attorneys know various PBMs’ Pharmacy Services Manuals inside and out.

Frier & Levitt has experience dealing with Express Scripts, Medco, Caremark, Blue Cross/Blue Shield, Walgreens, Blue Care Network and other PBMs during the audit stage, and in arbitration proceedings following the PBM audit. We have seen first-hand how onerous a PBM audit can be to you and your pharmacy.

If you've received an audit notice for an alleged overpayment, it is important that you retain competent counsel immediately.  An efficient and successful resolution of the audit will minimize disruption to the pharmacy’s business and may potentially protect the pharmacy from a catastrophic result.

Frier & Levitt possesses a thorough knowledge and a nuanced understanding of many of the PBMs’ written agreements with their network pharmacies, and consequently is prepared to take an aggressive approach to both the audit and the arbitration.  We will do everything we can to help your pharmacy get the outcome it deserves.

If you've already been through the audit process and are unhappy with the PBMs’ findings, we will candidly discuss with you the likelihood of success for your pharmacy in an arbitration proceeding against the PBM.

Recent Results By Frier Levitt Against PBMs

In addition to the class action, we recently obtained injunctive relief against a national PBM prohibiting the PBM from retracting monies from pharmacies.  The PBM had unilaterally and unjustly decided to “retract” in excess of one million dollars from two pharmacies.  The Court disagreed with the PBM and granted Frier Levitt’s proposed Injunction—preventing the PBM from “retracting” the money from the pharmacies.  The injunction has allowed our clients to continue to operate their businesses while the matter is being arbitrated, without suffering the devastating effects of the onerous retractions.  This may have been the first time that a national PBM has been enjoined from retracting from a pharmacy and we are proud to have obtained this result on behalf of our pharmacy clients.

Regardless of the size of your pharmacy or the amount at stake as a result of the audit, we are ready to assist you in successfully challenging the audit.

Contact us. We want to hear from you.