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 have PAAS National® (the Pharmacy Audit Assistance Service) to assist you with challenging your audit results. 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.
If you’re unhappy with the results of your audit, it is important that you immediately retain Frier Levitt to discuss your rights and legal options.
Download Information about our Pharmacy Audit Intervention and Response Program© (“PhAIR©”)
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 fight for your rights following the audit and in arbitration/litigation. We will candidly discuss with you the likelihood of success for your pharmacy in an arbitration proceeding against the PBM and will do everything we can to help your pharmacy get the outcome it deserves.
Recent Results By Frier Levitt Against PBMs
In addition to the class action, we have 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 allowed our clients to continue to operate their businesses while the matter is being arbitrated, without suffering the devastating effects of the onerous and unexplained 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. The injunction was subsequently "dissolved", but only after the PBM clarified to the court their retraction process.
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
To discuss how Frier Levitt, LLC can help you, please call us at 973-618-1660, or toll-free at 1-888-Levitt-1 (i.e., 1-888-538-4881). You can also write to us using the contact form on the right side of this page.
We look forward to hearing from you.
Need audit assistance? Contact PAAS National® toll-free at 1-888-870-PAAS (7227)
Frier Levitt LLC has a long standing relationship with PAAS National® - The Pharmacy Audit Assistance Service. PAAS National® has assisted with over 14,700 PBM audits and has saved members pharmacies more than $59 million in penalties. Members receive pre- and post-audit assistance, expert contract review and negotiating strategies, a Third Party Monthly Newsline, and toll-free support for prescription filling and billing questions or to assist you with our extensive contact list of PBM personnel above and beyond the help desk. Frier Levitt recommends PAAS National® for audit assistance at www.paasnational.com.