Legal Considerations and Challenges for Hospital and Health-System Specialty Pharmacies
May 20 @ 2:00 pm - 3:00 pm
Frier Levitt Life Sciences Partner and Head of the Pharmacy Practice Group, Jesse C. Dresser, Esq. will be presenting a Vizient CE webinar for Pharmacists and Pharmacy Technicians on May 20, 2021 at 2pm ET.
In the session entitled, “Legal Considerations and Challenges for Hospital and Health-System Specialty Pharmacies,” we will discuss the current pharmacy benefits landscape in the context of the drug supply channel, and in particular, the role that health system pharmacies play. This session will focus primarily on payor and PBM concerns for health system pharmacies (including heightened barriers of entry, disproportionate copay tiers versus PBM-owned pharmacies, and unreasonably low reimbursement rates). The presentation will include real world, practical advice to pharmacists and administrators on how to navigate these difficult payor challenges and look for opportunities for growth. The presentation will also cover other laws and legal principles, including Board of Pharmacy considerations, 340B regulations, anti-kickback and self-referral laws, and more.
- Discuss current pharmacy benefits landscape in the context of the drug supply channel, and the role that health system pharmacies play.
- Understand payor network admission criteria for various PBM networks requirements, and learn to navigate nontransparent, unclear, continuously changing, and onerous requirements.
- Address the framework of laws and regulations that impact health system pharmacies, including rules regarding network access, benefits design, fair audits, and reimbursement rates.