Frier Levitt attorneys recently assisted a New Jersey-based specialty pharmacy which was audited by a large health plan and its PBM. The audit resulted in close to $100,000 for various audit discrepancies. Frier Levitt successfully argued the PBM’s audit results were invalid because of procedural irregularities, conflation of the terms “post -dispensing” with “post-audit” and application of erroneous discrepancy codes. The audit results were upheld twice by the plan and had reached the Alternative Dispute Resolution stage before Frier Levitt was successful in reversing 100% of the audit results.
How Frier Levitt Can Help
Regardless of the size of your pharmacy or the amount at issue, Frier Levitt can assist you in challenging PBM audits. Our attorneys include pharmacist-attorneys who take an aggressive approach to fight for your rights following a PBM audit. If you have questions or need help with a PBM audit, contact us to speak to an attorney.
