PHARMACY ALERT: Recent Trend of PBM Nonpayment Issue with Independent Pharmacies
Frier Levitt has noticed a recent uptick in pharmacies experiencing issues with not consistently receiving payments from certain PBMs – including OptumRx – on clean claims. This could involve untimely payments, unreconciled payments or payments that are missing altogether. If your pharmacy is facing financial harm as a result of OptumRx or other PBMs’ failure to make timely payments, you may only have a short time to dispute them. In light of this, Frier Levitt can help pharmacies like yours who are experiencing similar non-payment issues to address these concerns through the federal and various state Prompt Payment laws. If you would like to file a dispute or simply learn more about your PBM contracts and legal rights, contact Frier Levitt to speak to an attorney.