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Why Filing MAC Appeals Should be a “Win-Win” for Pharmacies

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 independent pharmacies in the United States. MAC lists which identify MAC prices for numerous drugs are created entirely by PBMs and kept highly confidential by PBMs. As a result, PBM MAC lists and MAC...

Frier Levitt Alternative Fee Arrangements and Challenging DIR fees During COVID-19

As COVID-19 grips the national economy, pharmacies are not immune from the financial fallout. Challenging PBMs’ abusive DIR fee recoupments is more important than ever to preserve the viability of independent pharmacy. As pharmacies struggle to pay employees and their benefits, honor financial obligations to vendors, wholesalers, and most importantly to keep patients safe, margins are tightening. During these challenging times, pharmacies should consider taking advantage of Frier Levitt’s Alternative...