Frier Levitt recently helped an Arizona-based independent pharmacy that was being audited by a national PBM. The PBM alleged various audit discrepancies including inadequate proof of delivery and missing signature logs. These alleged discrepancies... Read More
In a growing trend, we have seen Pharmacy Services Administrative Organizations (PSAOs) recently undertake new efforts to withhold reimbursements due and owing to pharmacies after they have been terminated by one or more pharmacy benefits managers... Read More
For community pharmacies, dealing with a Pharmacy Benefit Manager (“PBM”) audit has become a significant part of their day-to-day operation. It requires a pharmacy to spend scarce resources to respond to an audit but also to challenge any... Read More
This article examines Pharmacy Benefit Manager’s (“PBM”) “rebate walls” and the impact on the United States drug supply chain. The Federal Trade Commission head, Commissioner Rohit Chopra, recently issued a report on PBM rebate walls,... Read More
State legislative initiatives to regulate Pharmacy Benefit Managers (“PBMs”) have gained momentum. Arkansas successfully defended its state PBM regulation in 2020 before the United States Supreme Court. Now, more states have been enacting... Read More
As Congress has made changes to the health care system over the past 30 years, nothing has impacted consumers' lives as much as the growth of pharmacy benefit managers (PBMs). Most consumers might not think that PBMs play a large role in their... Read More
As previously discussed in our April 2021 pharmacy alert, we have witnessed a growing trend in aberrant quantity audits and terminations coming from CVS Caremark. Specifically, CVS Caremark has been flagging more pharmacies for allegedly dispensing... 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
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
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
