Over the past five years, there has been an alarming trend in the United States health care system: an increase in the number of physicians in private practice whose medical staff privileges in hospitals have been suspended without proper due... Read More
In a statement released on September 19, 2023, pharmaceutical company Eli Lilly has announced that it has initiated legal proceedings against certain medical spas, wellness centers, and compounding pharmacies in the U.S. The company is attempting to... Read More
On September 18, 2023, Governor DeSantis took the next steps toward increasing Pharmacy Benefit Manager (“PBM”) accountability and transparency in the State of Florida by approving rules that implement the Prescription Drug Reform Act Senate... Read More
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
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
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
An Iowa based pharmacy recently received a $137,000 refund from a pharmacy benefit manager (PBM) after the pharmacy submitted a complaint about the PBM’s business practice of retroactively recouping money from the pharmacy. The recoupment in... Read More
