Blog

»  Posts By   June 2019 

Surprise Cuts in Medicaid Reimbursements and the Impact on Independent Pharmacies

Pharmacy Benefit Managers (PBMs) use many different tactics to increase their revenue, and spread pricing has long been a common way to generate incremental revenue from each transaction. This has become a state-wide problem in Kentucky, especially for the Department for Medicaid Services (DMS). Pharmacy costs have become the fastest growing budget items in the Kentucky Medicaid budget. In the calendar year 2018, PBMs reported being paid $957.7 million from...

FDA Conducts Anticipated Hearing on the Regulation of CBD Products

On May 31, 2019, the Food and Drug Administration (FDA) held a widely anticipated public hearing to gather information on the use of cannabis and cannabis-derived compounds, including cannabidiol (CBD), in consumer products such as foods, dietary supplements and cosmetics. Although FDA did not reveal any new regulatory pronouncements, the hearing marks an important initial step in the Agency's on-going evaluation of a potential evidence-based regulatory pathway for such products. ...

Pharmacy ALERT: Increased Scrutiny on PBM Credentialing Applications

Recently, Pharmacy Benefit Managers (PBMs) have been subjecting pharmacies and their credentialing applications to additional scrutiny. In one instance, a major PBM sought to terminate a pharmacy for its failure to report disciplinary action against the Pharmacist-In-Charge's license that occurred over 17 years prior. In another instance, another PBM attempted to terminate a pharmacy for allegedly not updating its ownership information. Frier Levitt was able to assist both pharmacies in...

Frier Levitt Successfully Reverses PBM Network Termination

Frier Levitt was recently successful in reversing a Florida pharmacy’s network termination by a major PBM. The PBM had sent a Notice of Termination alleging that the pharmacy failed to comply with terms and conditions set forth by PBM Agreement and Provider Manual by waiving copays and processing unwanted refills. Notably concerning was that the pharmacy did not receive any notice of audit prior to receiving the Notice of Termination. ...

Manufacturer ALERT: Vitamin Supplements May Contain Toxins

An Illinois man alleges that he was exposed to toxins, including arsenic, cadmium, and lead, which were in The Vitamin Shoppe's daily vitamin supplement. The complaint was filed by Harvey Mahler in the Circuit Court of Cook County but is now pending in the United States District Court for the Northern District of Illinois.  The lawsuit presents claims against the manufacturer and the distributor, The Vitamin Shoppe, indicating that the...
12