In a significant victory, Frier Levitt assisted a New York based pharmacy client in successfully challenging audit findings by a major Pharmacy Benefit Manager (“PBM”) resulting in the retrieval of over $1.1 million. In the Initial Findings,... Read More
In a significant development that could impact the future of prescription drug costs, the U.S. Federal Trade Commission (“FTC”) announced an expansion of its investigation into the country’s leading Pharmacy Benefit Managers (“PBMs”). ... Read More
As discussed in our recent article, the Consolidated Appropriations Act of 2021 (the “CAA”) levels the playing field between pharmacy benefit managers (“PBMs”) and their employee healthcare benefit plan clients (“Plans”) by creating new... Read More
Frier Levitt recently helped a New York based pharmacy overturn a network enrollment denial by a major Pharmacy Benefit Manager (“PBM”). The PBM rejected the pharmacy’s enrollment application due to allegations of “common association or... Read More
A new federal law has brought significant change in the design of pharmacy benefit plans, leveling the playing field between pharmacy benefit managers (“PBMs”) and their employee healthcare benefit plan (“Plan”) clients. For far too long,... Read More
Frier Levitt recently assisted a New Jersey pharmacy client in successfully challenging a major Pharmacy Benefit Manager’s (“PBM”) audit findings and reversing 100% of the purported discrepancies. During the audit, the PBM asserted allegations... Read More
Regardless of the size of your pharmacy, pharmacy benefit manager (“PBM”) audits are inevitable. While these audits are promoted as a means to ensure network pharmacies operate in compliance with the terms of PBM Provider Manuals and federal and... Read More
IV hydration services are becoming increasingly popular across the country as they offer a convenient way for individuals to receive intravenous vitamins, nutrients, or hydration on demand. In addition to traditional brick-and-mortar locations, in... Read More
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
