A piece of legislation aimed at regulating pharmacy benefit managers (PBMs) and protecting Independent Pharmacies in the State of Tennessee recently passed through the State’s House and Senate and was subsequently signed into law by Governor Bill... Read More
Lately, Frier Levitt has seen an increase in actions by pharmaceutical manufacturers (and their vendors) against pharmacies related to the use of certain patient-savings programs, such copay coupon programs. The programs are designed to reduce... Read More
In October 2020, Frier Levitt described how the Cybersecurity and Infrastructure Security Agency (“CISA”) and the FBI announced an “increased and imminent cybercrime threat to U.S. hospitals and healthcare providers.” Since that time,... Read More
A Texas husband and wife dentist team recently reached an agreement with the United States Department of Justice (“DOJ”) to pay $3.1 Million to resolve allegations that they violated the False Claims Act (“FCA”) by defrauding the Texas... Read More
Inventory maintenance, a routine undertaking in most businesses, is among the most crucial tasks performed by pharmacists and may have profound repercussions if not handled accurately. In particular, inventory shortages are common discrepancies... Read More
Recently, the Department of Justice announced a series of prosecutions against numerous individuals, including a physician, a telemedicine executive, marketers, and various laboratory and pharmacy owners. In sum, 14 defendants across seven federal... Read More
Restrictive covenants in employment agreements are a critical tool utilized by employers to impose post-employment restrictions on their employees. Restrictive covenants are enforceable to preserve and protect the employer’s confidential... Read More
PBMs have historically accepted pharmaceutical manufacturer coupons so long as the usage of such coupons complies with both state and federal law. Recently, however, PBMs have begun to allege technical breaches of the contract for a pharmacy’s... Read More
Early in the COVID-19 outbreak, on April 2, 2020, the Centers for Medicare and Medicaid Services (“CMS”) issued a suspension of most of their audit activities. This suspension was in place until August 5, 2020, when most audit activities... Read More
PBMs are notorious for auditing pharmacies with the intent of seeking large recoveries, including a clawback of the entire reimbursement amount paid on a prescription claim in addition to an audit fee proportionate to the recovery amount. Audits... Read More
