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»  Posts By   November 2018 

How Pharmacies Can Take Action Against GER Deductions Regardless of Amount

Epic Pharmacy Network, Inc. (Epic) has sent demands to network pharmacies notifying its members that it will withhold future payments because of a Generic Effective Rate (GER) adjustment. These notices are being sent to network pharmacies regardless of size, and in amounts as large as more than $5 Million, but sometimes in amounts less than $20,000. Depending on the size of a pharmacy, $20,000 withheld from a pharmacy can be...

What Pharmacies Need to Know About the “Know the Lowest Price Act” and the “Patients’ Right to Know Drug Prices Act”

Two recently enacted federal laws important to pharmacies, the "Know the Lowest Price Act" and the "Patients' Right to Know Drug Prices Act" were recently signed into law. The laws are designed to remove vagueness in pharmaceutical pricing and to eliminate gag clauses in provider agreements between pharmacy benefit managers (PBMs) and pharmacies. Such gag clauses would prevent a pharmacist from disclosing to the patient that the copayment exceeded the cash price of...

Florida Attorney General Brings Action Against CVS and Walgreens for Role in Opioid Crisis

Florida is suing CVS and Walgreens for allegedly contributing to the opioid crisis. CVS and Walgreens have been added as defendants, among manufacturers and distributors, in a lawsuit brought by Florida Attorney General. Apart from the manufacturers, the lawsuit alleges that CVS and Walgreens have violated their duties under state law not only in their capacity as distributor but also dispensing pharmacies. The suit further alleges that CVS and Walgreens...

PHARMACY ALERT: Pharmacy Obtains TRO Against PSAO Preventing GER Withholding

Epic Pharmacy Network, Inc. (Epic) was ordered today to turnover any funds that it has already withheld and refrain from withholding further payment to a pharmacy in its network as a result of a Generic Effective Rate (GER) adjustment once a security bond is in place by the moving pharmacy.  Pharmacy Services Administrative Organizations (PSAOs) recently sent out "Notice of GER Deductions" to pharmacies in its network advising that the...

What is Telemedicine?

Attorneys John E. Morrone, Esq., and Jonathan E. Levitt, Esq. discuss what telemedicine is and requirements for telemedicine, including: [00:00:00]: What is Telemedicine?[00:00:46]: Does there have to be a pre-existing Doctor-Patient Relationship?[00:01:31]: What should a physician do to learn whether they can get paid for a telemedicine encounter?[00:02:25]: Rules for Telemedicine: State vs Federal Law[00:04:07]: Originating Sites[00:05:37]: Telemedicine Requirements: Secure Platforms[00:06:37]: Are there platforms generally available? Contact Frier Levitt today...
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