Frier Levitt successfully assisted a Georgia-based pharmacy in securing reimbursement exceeding $1.2 million due and owed to the pharmacy from a major Pharmacy Benefit Manager (“PBM”). The PBM conducted multiple audits of the pharmacy including... Read More
Under the Consolidated Appropriations Act (“CAA”), plan sponsors are required to submit considerable amounts of data to the United States Department of Treasury, Department of the Labor, and Department of Health and Human Services (collectively,... Read More
As we begin to enter the holiday season, pharmacies need to be cognizant that not everyone is eager to dive into the holiday spirit. Indeed, for pharmacy benefit managers (“PBMs”), the holiday season is merely the starting point of year-end... Read More
The deadline for Plan Sponsors to submit considerable and illusive drug spend data required under the Consolidated Appropriations Act (“CAA”) is December 27, 2022. The CAA requires group health plans and health insurers to submit prescription... Read More
Recently, Frier Levitt has successfully challenged significant audit findings issued by a major pharmacy benefit manager (“PBM”) against an independent pharmacy based in California. During the audit, the PBM identified unsubstantiated drug... Read More
Frier Levitt recently assisted a California-based pharmacy client in successfully challenging a major PBM’s audit findings and reversing 100% of the purported discrepancies. During the audit, the PBM asserted allegations involving patient... Read More
America spends more on prescription drugs than any other country in the world. Although most patients have some form of insurance to help offset the costs of their prescriptions, 28% of Americans currently take a prescription medication that is not... Read More
Rising drug prices have forced consumers to seek out and utilize the most affordable sources to obtain their prescription medications. Whether it’s through commercial insurance, prescription discount cards, or manufacturer assistance programs,... Read More
Pharmacy benefit managers (“PBMs”) audit pharmacies within their network to ensure their contracted pharmacies comply with their contractual obligations as well as applicable state and federal laws. However, PBMs often implement abusive audit... Read More
Frier Levitt recently assisted a California-based independent pharmacy that faced an audit from a major pharmacy benefit manager (“PBM”) by successfully challenging the audit findings and reversing 100% of the purported discrepancies. During... Read More
