As we reported here, Pharmacy Benefit Managers (“PBMs”) have been conducting series of audits on prescription claims that were submitted by pharmacies during the novel coronavirus (“COVID-19”) pandemic.  The same trend has been observed in... Read More
Articles | Community, Retail Pharmacies | COVID-19 Resources | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

A bipartisan piece of legislation aimed at regulating pharmacy benefit managers (PBMs) in the State of Texas unanimously passed the House and Senate in Texas. Specifically, House Bill (HB) 1763 previously passed the Texas House by a vote of 147-0... Read More
Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | DIR Fees | Life Sciences | Payor Network Access and Defense of Network Terminations | Pharmacy Law

On April 12, 2021, Senator Kolkhorst, along with a bipartisan group of cosponsors, introduced SB 2195, a Bill that prohibits Pharmacy Benefit Managers (“PBMs”) operating in Texas from assessing against pharmacies a variety of different types of... Read More
Articles | Community, Retail Pharmacies | DIR Fees | Life Sciences | Payor Network Access and Defense of Network Terminations | Pharmacy Law

A bipartisan piece of legislation aimed at regulating Pharmacy Benefit Managers (PBMs) in Illinois is working its way through the State’s legislature. Senate Bill (SB) 2008 was recently up for debate in Illinois and offers significant additional... Read More
Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

Frier Levitt recently assisted a New York-based independent pharmacy that was placed under temporary payment suspension by a national Pharmacy Benefit Manager (“PBM”).  Notably concerning, the temporary suspension was effectuated while the... Read More
Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Pharmacy Law | Recent Results | Recent Successes

Throughout the country, several states have engaged in ongoing efforts to enact or enhance state laws aimed at regulating pharmacy benefit managers (PBMs) and certain PBM practices, including audit and reimbursement practices, causing economic harm... Read More
Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law | Regulatory Compliance, including FDA, DEA and HIPAA

Many states throughout the country have enacted various laws aimed at protecting independent pharmacies from improper and predatory practices by pharmacy benefit managers (PBMs). One example of a state with aggressive laws aimed at protecting... Read More
Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

Frier Levitt recently assisted an independent pharmacy based in New York that was being audited by a national pharmacy benefit manager (PBM). During the course of the audit, the PBM alleged various audit discrepancies including drug invoice... Read More
Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law | Recent Results | Recent Successes

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