The “law” applicable to drug reimbursement encompasses an array of laws across 50 states, the territories, and the federal government. These laws and regulations determine what a “Plan Sponsor” (such as an insurance plan, State Medicaid... Read More
Pharmacy Benefit Managers (PBMs) Maximum Allowable Cost or “MAC” pricing continues to be one of the most challenging issues facing independent pharmacies throughout the United States—MAC is one of the primary ways in which PBMs reimburse... Read More
One of the greatest issues facing independent pharmacies throughout the United States is the issue of reimbursement from pharmacy benefit managers (PBMs). There are numerous ways in which PBMs dictate reimbursement to independent pharmacies which... Read More
A recent law in New Jersey regulating Pharmacy Benefits Managers (“PBMs”) went into effect on March 18, 2020 and may have an immediate effect on reimbursement rates paid to New Jersey pharmacies. As Frier Levitt reported earlier this year, the... Read More
https://youtu.be/KqjA7M3yoH0 Attorneys Jonathan E. Levitt, Esq. and Lucas W. Morgan, Esq. discuss why pharmacies should be aware of when it comes to PBMs and Maximum Allowable Cost (MAC) laws, including: What is a MAC law? Challenging MAC... Read More
