ERISA Archives | Frier Levitt

States and Independent Pharmacies Achieve Monumental Victory in the Supreme Court

Todd Mizeski, Esq., Lucas W. Morgan, Esq. and A.J. Barbarito, Esq. December 10, 2020

On Thursday December 10, 2020, the Supreme Court of the United States (SCOTUS) issued a unanimous decision in the case Rutledge v. PCMA ruling in favor of the Petitioner, Leslie Rutledge, the Attorney General of Arkansas, and against the... Read More

PBM Licensure and Regulation Model Act

Martha M. Rumore Pharm.D., Esq., Jesse C. Dresser, Esq. and Jonathan Levitt November 30, 2020

The current United States marketplace for the regulation of pharmacy benefits is a patchwork of inconsistent (and in some cases non-existent) state laws, state and federal agency regulations, agency manuals and federal laws. Uniform state laws would... Read More

Blogs & Articles | Defending Pharmacies in PBM Audits | Life Sciences | Plan Sponsor PBM Contract Services

Pharmacy Groups and Dispensing Providers Unite in Landmark PBM Case: Rutledge v. PCMA

Martha M. Rumore Pharm.D., Esq., Jesse C. Dresser, Esq. and Todd Mizeski, Esq. October 26, 2020

On October 6, 2020, oral argument was entertained by the Supreme Court of the United States (“SCOTUS”) in Rutledge v. Pharmaceutical Care Management Association (PCMA), the first case to reach the high court challenging a State’s ability to... Read More

Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

U.S. Supreme Court Grants Important Petition Regarding Arkansas PBM Law

Lucas W. Morgan, Esq. January 15, 2020

On Friday January 10, 2020, the Supreme Court of the United States granted a petition for a writ of certiorari filed by the State of Arkansas wherein the Attorney General of Arkansas, Leslie Rutledge, asked the Court to review the U.S. Court of... Read More

Defending Pharmacies in PBM Audits | Pharmacy Law

New York Governor Vetoes PBM Bill

Martha M. Rumore Pharm.D., Esq. and Frier Levitt January 2, 2020

To the dismay of consumers and independent pharmacists, Governor Cuomo recently vetoed legislation passed by the state Legislature in June, designed to license and oversee pharmacy benefit managers ("PBMs"). The Bill, S. 6531, was endorsed by the... Read More

Pharmacy Law

Arkansas Seeks U.S. Supreme Court Review of Eighth Circuit Ruling Striking Down MAC Law

Lucas W. Morgan, Esq., Steven L. Bennet, Esq. and Frier Levitt May 7, 2019

Back on October 22, 2018, the state of Arkansas filed a petition for a writ of certiorari with the U.S. Supreme Court, asking them to review the U.S. Court of Appeals for the Eighth Circuit’s decision, specifically asking the Supreme Court to... Read More

Pharmacy Law

Former Aetna Medical Director Admits to Company-Wide Prior Authorization Misconduct Under Oath

Jonathan E. Levitt, Esq. February 12, 2018

Yesterday, CNN posted an exclusive article regarding the regulatory fallout stemming from the recent testimony given under oath by one of Aetna's former medical directors. During his sworn testimony, a former medical director admitted to never... Read More

Healthcare Law

Tips for Providers Faced with Reimbursement or Payment Disputes

Jonathan E. Levitt, Esq. and Frier Levitt January 3, 2017

Whether you are a physician, pharmacy, hospital, or other provider, you have undoubtedly faced complications in having your claims paid by a claims administrator at some point in time. Under Medicare, Medicaid, ERISA, and various other Federal and... Read More

Healthcare Law

My State is an “Any Willing Provider” State. What Does This Mean for My Pharmacy?

Jonathan E. Levitt, Esq. September 3, 2010

Many States have enacted "any willing provider" (AWP) legislation seeking to protect independent pharmacies. But, do these state laws work? AWP laws generally require health insurers, managed care organizations and other health plans to accept a... Read More

Pharmacy Law

Tag: ERISA

States and Independent Pharmacies Achieve Monumental Victory in the Supreme Court

Pharmacy Groups and Dispensing Providers Unite in Landmark PBM Case: Rutledge v. PCMA

U.S. Supreme Court Grants Important Petition Regarding Arkansas PBM Law

New York Governor Vetoes PBM Bill

Arkansas Seeks U.S. Supreme Court Review of Eighth Circuit Ruling Striking Down MAC Law

Former Aetna Medical Director Admits to Company-Wide Prior Authorization Misconduct Under Oath

Tips for Providers Faced with Reimbursement or Payment Disputes

My State is an “Any Willing Provider” State. What Does This Mean for My Pharmacy?

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