The continuing COVID-19 pandemic has caused most business operations to go virtual, and PBMs have followed this trend. Earlier this year, we reported that PBMs had briefly suspended audits of pharmacies in an alleged effort to ensure pharmacies were... Read More
As Frier Levitt has mentioned in previous articles, insurers have nearly unanimously waived cost-sharing requirements for virtual telehealth visits since the onset of the Coronavirus pandemic. Recently, however, certain payors have begun to roll... Read More
As a result of the COVID-19 pandemic, many Pharmacy Benefit Managers (“PBMs”) had taken some form of action to help prioritize patient care including providing safe access to prescription drugs. Many of the flexibilities and changes in policy... Read More
Over 185,000 Americans and counting have lost their lives battling COVID-19. Health care providers have fought hard for patients and the Government has granted them, along with vaccine manufacturers, broad immunity from liability. However, victims... Read More
The U.S. Patent and Trademark Office (USPTO) recently announced the COVID-19 Trademark Prioritized Examination Program as well as a Prioritized Examination Pilot Program for Patent Applications. For trademarks, the program allows COVID-19-related... Read More
While the majority of independent pharmacies have continued to see their margins shrink because of below market pricing and self-serving tactics implemented by Pharmacy Benefit Managers (“PBMs”) that only benefit themselves, Frier Levitt... Read More
In March 2020, the Department of Justice announced a shift in focus from prosecuting typical healthcare fraud matters to fraud related to the COVID-19 Pandemic. As an illustration of this initiative, the DOJ has established a National Center for... Read More
The U.S. Department of Health and Human Services (“HHS”) recently announced that dentists may now apply to receive funding through the CARES Act Provider Relief Fund. The original published deadline for applications to be submitted through the... Read More
On March 30, 2020, the Centers for Medicare & Medicaid Services (“CMS”) suspended most Medicare Fee-For-Service medical reviews because of the COVID-19 pandemic. This included pre-payment medical reviews conducted by Medicare Administrative... Read More
The Centers for Medicare & Medicaid Services (“CMS”) Provider Enrollment, Chain and Ownership System (“PECOS”) allows registered users to securely and electronically submit and manage their Medicare enrollment information. There are... Read More
