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A Multi-Dimensional Approach to Building Practice Value for Plastic Surgeons

Treat Your Medical and Spa Business to a Financial Facelift A White Paper addressing the reasons why Plastic Surgeons  should consider separating their Clinical Practice from Spa Services and the value it creates. By Daniel B. Frier, Esq., Michael Berry, ChFC, and Marc H. Lion CPA, CFP Download PDF of this White Paper Engaging an innovative team of financial professionals allows our clients to reduce their tax burden, cut costs, retain more...

Frier Levitt Helps Seller Complete Over $3MM Pharmacy Transaction

Frier Levitt recently provided counsel on the sale of three pharmacy locations, office and warehouse space, and a Durable Medical Equipment provider, located in New York. The total value of the transaction was over $3MM. This complex transaction involving five purchasers consisted of multiple smaller transactions, ranging from lease assignments to surrender and reissuance of stock in various companies. As with all pharmacy transactions, special attention was required to assure...

Florida Legislature Introduces Bill Aimed at Regulating PBMs

In October 2017, the Florida legislature introduced HB 351, aimed at regulating pharmacy benefits managers – or "PBMs" – operating in the state. Up until this point, PBMs had operated in Florida without much direct oversight or regulation. If this Bill were to pass, several new requirements would become incumbent upon PBMs. Among other things, PBMs would be required to apply for registration with the Board of Pharmacy and adhere...

PBMs Continue to Increase Scrutiny of Mailing Operations

While PBMs have scrutinized retail pharmacies for mailing activities for some time, over the last several weeks, several major PBMs have embarked on renewed tactics aimed at clamping down on pharmacies dispensing prescription medications to their patients through the mail or other common carrier.  By way of example, certain PBMs (including Humana) have issued new waves of termination notices to pharmacies, alleging violations of contractual mail order limitations or improper...

NADAC Pricing and Aggressive PBM Prior Authorization Tactics: How Specialty Pharmacies Can Respond

Nearly every day, independent specialty pharmacies face industry changes that threaten their businesses. This year, two changes have been especially impacting – the implementation of the NADAC pricing benchmark and enhanced and aggressive prior authorization protocols and policies implemented by PBMs. Unfortunately, the implementation of the National Average Drug Acquisition Cost (NADAC) benchmark has been devastating to some pharmacies, which are often reimbursed at or below acquisition cost. Similarly, independent...
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