Diana Ryzhova, Esq., Author at Frier Levitt

Pharmacy Alert: Be Aware of Deadlines set by Express Scripts, Inc. to Appeal Absence of Prescriber-Patient Relationship Denials, As Well as New Documentation Required to Appeal

Diana Ryzhova, Esq., Jesse C. Dresser, Esq., Kendra E. Pannitti, Esq. and Jonathan Levitt December 1, 2020

Express Scripts, Inc. (“ESI”), has switched gears once again in its recoupment efforts that originally began on April 7, 2020, and re-initiated by ESI on September 1, 2020 . ESI unilaterally recoups funds from pharmacies based on an alleged... Read More

Pharmacy Alert: ESI/TRICARE Re-Initiating Recoupment Actions

Diana Ryzhova, Esq., Jesse C. Dresser, Esq. and Kendra E. Pannitti, Esq. September 15, 2020

Express Scripts, Inc. (“ESI”), following a period of stay in its April 7, 2020 recoupment action, has resumed its efforts to recover funds from certain pharmacies who submitted claims to TRICARE in 2015, this time, with no indication of slowing... Read More

Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Traditional Compounding Pharmacies (503A)

ESI Suspension of Previous Recoupment Actions

Jesse C. Dresser, Esq., Kendra E. Pannitti, Esq. and Diana Ryzhova, Esq. July 6, 2020

This week, a new phenomenon began to emerge, impacting compounding pharmacies that previously received letters dated April 7, 2020 from Express Scripts, Inc. (“ESI”) initiating recoupment actions. At the request of the Defense Health Agency... Read More

Pharmacy Law

ESI Recoupment Letters: Absence of Prescriber-Patient Relationship

Diana Ryzhova, Esq., Jesse C. Dresser, Esq. and Kendra E. Pannitti, Esq. May 1, 2020

At the request of the Defense Health Agency (“DHA”), Express Scripts, Inc. (“ESI”) has begun sending letters to some of the pharmacies within its network recouping on claims that had been submitted to TRICARE. This recent batch of letters is... Read More

Blogs & Articles | Pharmacy Law

Pharmacist’s New Role Amid the COVID-19 Outbreak

Kendra E. Pannitti, Esq. and Diana Ryzhova, Esq. April 17, 2020

The role of the pharmacist is continuously evolving. President Trump's October 2019 Executive Order 13890, which seeks to improve access to healthcare for Medicare patients, sparked arguments from the National Community Pharmacists Association... Read More

Author: Diana Ryzhova, Esq.

Pharmacy Alert: Be Aware of Deadlines set by Express Scripts, Inc. to Appeal Absence of Prescriber-Patient Relationship Denials, As Well as New Documentation Required to Appeal

Pharmacy Alert: ESI/TRICARE Re-Initiating Recoupment Actions

ESI Suspension of Previous Recoupment Actions

ESI Recoupment Letters: Absence of Prescriber-Patient Relationship

Pharmacist’s New Role Amid the COVID-19 Outbreak

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