A New York Pharmacy’s network termination by a major PBM for a was recently rescinded as the result of emergent intervention from Frier Levitt. The PBM was alleging discrepancies in the pharmacy’s credentialing document and, although the pharmacy’s principal never made any intentional misrepresentations, the PBM nevertheless terminated the pharmacy and plan sponsors sent out notices to the pharmacy’s patients. Frier Levitt assisted at all stages of the dispute.
Frier Levitt’s Life Sciences associate Harini Bupathi, Esq. initially advised the pharmacy, helping it navigate the complex credentialing process. When the dispute began degrading into litigation, associates Steven L. Bennet, Esq. and A.J. Barbarito, Esq. attempted to resolve the matter amicably; however, when it became clear litigation was necessary, Frier Levitt filed for a temporary restraining order—powerful emergency relief that can be granted to prevent the devastating loss to a business that can result from termination. Shortly after the filing, the PBM’s litigation counsel contacted Frier Levitt to resolve the matter, and the termination was rescinded.
If you need help with a PBM audit or dispute or you have recently been issued a notice of termination, Frier Levitt’s experienced attorneys can offer guidance and effective solutions to keep your pharmacy in business. Contact Frier Levitt today to speak to an attorney.