On October 26, 2021, Delaware’s new law regulating PBMs took effect. The law, HB219, regulates PBMs in multiple ways, and Insurance Commissioner Trinidad Navarro recently made a statement confirming that the Delaware Department of Insurance will... Read More
As independent pharmacies across the country look for ways to diversify and grow the scope of products available to their patients, many consider expanding into the durable medical equipment (DME) space, such as wheelchairs, walkers, crutches, and... Read More
In yet another high-profile legal action, health insurance giant, Humana, has demonstrated its appetite to go after pharmaceutical manufacturers, supporting hubs and specialty pharmacies involved in patient assistance programs. This past week,... Read More
As the cost of health care continues to rise, the presence and use of prescription discount cards has increased as well. Prescription discount cards – such as GoodRx or SingleCare – purport to offer patients access to various forms of discounts... 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
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
Frier Levitt successfully lifted a payment suspension imposed by a major Pharmacy Benefit Manager ("PBM") upon an independent pharmacy based in New York. The PBM effectuated the payment suspension shortly after conducting an audit but prior to... Read More
Frier Levitt recently assisted a New Jersey-based specialty pharmacy audited by a large health plan and its PBM which had placed over $500,000 at issue through various audit discrepancies, including alleged invalid prescriptions, insufficient proof... Read More
Frier Levitt recently helped a New York-based independent pharmacy that was being audited by a PBM. Frier Levitt worked with the pharmacy and the PBM to successfully reduce the audit discrepancies by more than 90%. The PBM alleged various audit... Read More
One of the most challenging issues for independent pharmacies throughout the United States is the issue of pharmacy benefit managers’ (PBMs) reimbursement practices. There are numerous ways in which PBMs dictate reimbursement to independent... Read More
