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»  Posts By   July 2018 

Frier Levitt Helps Reduce PBM Audit by $705k for New York-Based Pharmacy

PBMs often conduct invoice reconciliation audits to ensure pharmacies maintain sufficient quantities of medications to support the quantities billed. Recently, a New York-based pharmacy was facing a large recoupment following a PBM invoice reconciliation audit when the PBM alleged the pharmacy did not have proper inventory. Despite the submission of the underlying invoice documentation and even pedigree, the PBM refused to consider the pharmacy's purchases on the basis of a...

503A and 503B COMPOUNDING ALERT: FDA Issues a Series of Compounding Updates

In keeping in line with its 2018 Compounding Policy Priorities Plan, the Federal Food and Drug Administration (FDA) released four compounding updates on Monday, July 23rd, including: Compounding risk alert regarding the bulk drug substance, cesium chloride Two new research collaborations with the FDA and the University of Maryland and John Hopkins University in order for the FDA to gather information to help construct the list of bulk drug substances...

Frier Levitt Successfully Reduces Pharmacy’s PBM Audit by Over 97%

Recently, a Pharmacy Benefit Manager (PBM) alleged in an audit that a Maryland-based pharmacy had been violating the PBM's network rules of using a third party carrier to mail prescriptions out-of-state to its clients, alleging a total discrepant amount of approximately $174,000. Frier Levitt attorneys submitted additional documents to the PBM, proving that no such mailing had taken place, successfully reducing the PBM audit discrepancy amount by over 97%, from...

FCC Announces $100M Connected Care Pilot Telemedicine Program

The Federal Communications Commission (FCC) has announced an $100 million telehealth program, which the FCC will vote on in August. The Connected Care Pilot Program will issue grants to providers to aid in securing broadband connectivity with the intention of assisting rural, low income beneficiaries gain access to telemedicine services. Access to telehealth services can enhance patient outcomes while reducing cost for both healthcare programs and providers. Over the course...

Frier Levitt Successfully Reverses Approximately $105k in Fines for Alleged Out-of-State Mailing

Recently, Frier Levitt assisted a Florida-based pharmacy in a PBM audit that alleged the pharmacy had mailed into certain states without a valid non-resident licensure to do so. Frier Levitt was able to prove that the pharmacy did in fact maintain active nonresident licensures in several states or was not required to maintain licensure at the time of dispensing. In other instances, the pharmacy did not dispense medications to patients...
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