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... Read More
One of the greatest issues facing independent pharmacies throughout the United States is the issue of reimbursement from pharmacy benefit managers (PBMs). There are numerous ways in which PBMs dictate reimbursement to independent pharmacies which... Read More
A recent law in New Jersey regulating Pharmacy Benefits Managers (“PBMs”) went into effect on March 18, 2020 and may have an immediate effect on reimbursement rates paid to New Jersey pharmacies. As Frier Levitt reported earlier this year, the... Read More
https://youtu.be/KqjA7M3yoH0 Attorneys Jonathan E. Levitt, Esq. and Lucas W. Morgan, Esq. discuss why pharmacies should be aware of when it comes to PBMs and Maximum Allowable Cost (MAC) laws, including: What is a MAC law? Challenging MAC... Read More
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
California pharmacies must act now to prevent 18 months of retroactive reduction in Medicaid payments set to be collected from pharmacies in late 2018. Without taking action now, pharmacies may be unable to shoulder the burden of historical claims... Read More
Several States throughout the United States have passed laws regarding Maximum Allowable Cost (MAC) pricing and the corresponding appeals process. Some States have enacted legislation that is more favorable to independent pharmacies, than other... Read More
Several States throughout the United States have passed laws regarding Maximum Allowable Cost (MAC) pricing and the corresponding appeals process. In addition to enacting favorable MAC laws, some States such as Arkansas have afforded their resident... Read More
Over the past several years, Maximum Allowable Cost or “MAC” pricing has become especially prevalent in prescription drug reimbursement frameworks, and has evolved as a preferred method of reimbursement among pharmacy benefits managers.... Read More
