Congress has taken yet another major step towards controlling prescription drug prices and promoting affordability for Medicare Beneficiaries. On June 14, 2023, Senators Wyden, Crapo, Menendez, Blackburn, Tester and Marshall introduced bipartisan... Read More
On September 19, 2023, the House Committee on Oversight and Accountability held a hearing titled, “The Role of Pharmacy Benefit Managers in Prescription Drug Markets Part II: Not What the Doctor Ordered.” During this hearing, the Committee... Read More
Recently, Frier Levitt attorneys assisted a Philadelphia-based pharmacy overturn a notice of termination (the “Notice”) issued by a national PBM. The PBM issued the Notice in response to the results of an audit conducted by an affiliated-PBM... Read More
Frier Levitt is excited to share our most recent newsletter addressing crucial topics for Plan Sponsors. Within its pages, you'll find important news and articles, tailored to help large employers, union groups and self-insured companies understand... Read More
Fair pricing laws are statutes enacted by state legislatures to ensure pharmacies are paid sufficient reimbursement by Pharmacy Benefit Managers (“PBMs”) or other payors to allow them to continue to operate within the state. Generally, state... Read More
Frier Levitt successfully resolves over $600,000 of the audit findings issued against a California-based pharmacy by a major PBM. Despite the pharmacy’s timely compliance with the PBM’s audit request, the PBM sought recoupment of claims worth... Read More
The United States Department of Health and Human Services Office of Inspector General (“OIG”) recently published an unfavorable Advisory Opinion that should prompt many medical practices to rethink the manner in which they utilize independent... Read More
On August 25, 2023, the FDA issued a Guidance providing for a one-year enforcement discretion period for the Drug Supply Chain Security Act (DSCSA) requirement of electronic interoperability for tracking transactions. The delay was actively sought... Read More
Frier Levitt partner Dae Lee was recently quoted in Drug Topics article “Rise of Third-Party Pharmacy Audits” by Keith Loria. Pharmacy benefit managers (PBMs) regularly perform audits on pharmacies, either directly or through third-party... Read More
Frier Levitt partner Jesse Dresser was recently quoted in Drug Topics article “Mid-Year Updates on PBM Legislation” by Keith Loria. The Senate Finance Committee recently passed a pharmacy benefit managers (PBM) reform package, marking a... Read More