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Frier Levitt – Attorneys at Law
Plan Sponsor ALERT: Ohio Continues Its Fight Against Abusive PBM Practices
Home › OptumRX audit
Home › Posts tagged OptumRX audit

Tag: OptumRX audit

Plan Sponsor ALERT: Ohio Continues Its Fight Against Abusive PBM Practices

Jesse C. Dresser, Esq., Paul H. Juzdan, Esq. and Dae Y. Lee, Esq., Pharm.D CPBS December 17, 2019
The State of Ohio has become one of the many states that have fallen victim to PBMs' abusive revenue tactics, as detailed in an audit report finding that the state's PBMs — OptumRx and Caremark — charged the state a spread of 31% on generic... Read More
Pharmacy Law

Plan Sponsor ALERT: Beware of Rebate Aggregators

Dae Y. Lee, Esq., Pharm.D CPBS September 9, 2019
Plan Sponsors should be aware of a few recent developments that lead to high gross and net drug prices. First, the White House recently withdrew a Notice of Proposed Rule Making (NPRM) that would have altered the entire drug marketplace. The NPRM... Read More
Defending Pharmacies in PBM Audits | Pharmacy Law | Plan Sponsor PBM Contract Services

Frier Levitt Re-Opens PBM Audit Overturning All Findings

Harini Bupathi, Esq. March 22, 2018
Frier Levitt recently helped an Oklahoma-based pharmacy overturn all findings from a PBM audit after re-opening the audit which had been closed for over a year. During the time of the audit, the PBM maintained that it did not receive the... Read More
Pharmacy Law

Frier Levitt Helps Save Pharmacy Over $390K in PBM Audit

Alexandra Pearsall, Esq. December 26, 2017
Frier Levitt recently assisted an independent pharmacy with an audit after a PBM alleged that several drugs showed a shortfall of inventory. Frier Levitt worked with the pharmacy and reviewed all records of the drug purchases, and provided proof of... Read More
Defending Pharmacies in PBM Audits | Pharmacy Law | Recent Successes

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        • Home
        • About
          • About Us
          • Meet Our Attorneys
          • Our Staff
          • News & Press
        • What we do
          • Healthcare
            • Medical Practice Mergers & Supergroups
            • Telemedicine & Telehealth
            • Healthcare Practice Compliance
            • HIPAA Compliance
            • Hospital/Physician Negotiations and Joint Ventures
            • Healthcare Litigation
            • Medicare, Medicaid, and Other Commercial Payor Audits & Appeals
            • Out-of-Network Provider Issues
            • Medical Practice Representation
            • Pain Management Compliance
            • Professional Board Actions
            • In-house Counsel Legal Support Services
            • Administrative and Insurance Defense Law
            • Ambulatory Care Facility Formation & Representation
            • Antitrust
            • Data Transactions
            • Employment Matters
            • Federal and State Fraud and Abuse Counseling
            • Private Equity Investing
            • Managed Care Negotiations and Strategies
            • Physician Dispensing
            • Value Based Care
            • Clinical Trials / Human Subjects Research
            • White Collar Defense and Government Investigations
            • Intellectual Property Services
          • Life Sciences & Pharmacy
            • Defending Pharmacies in PBM Audits
            • DIR Fees
            • Payor Network Access and Defense of Network Terminations
            • MAC Pricing & Appeals
            • Medicare Audit Appeals
            • Plan Sponsor PBM Contract Services
            • Antitrust Tools Available to Combat PBM Abuse of Pharmacies
            • Telehealth & Telemedicine
            • 340B Covered Entity and Contract Pharmacy Regulatory and Contract Support
            • Intellectual Property Services
            • Review of Promotional and Advertising Materials
            • Physician Dispensing
            • Private Equity Investing in Specialty Pharmacy & Pharmaceutical Companies
            • White Collar Defense and Government Investigations
            • Value Based Care
            • Federal & State Fraud and Abuse Counseling
            • Employment Matters
            • Pharmacy Transactions
            • National Board of Pharmacy Matters
            • Risk Assessment Mitigation Strategy
            • Medicare Advantage Risk Adjustment Litigation
            • PBM Qui Tam Lawsuits
        • Who we serve
          • Healthcare
            • Physicians and All Types of Single and Multi-Specialty Practice Groups
            • Hospitals and Healthcare Systems
            • Clinically Integrated Networks
            • Ambulatory Care Facilities/Ambulatory Surgery Centers (ASCs)
            • Medical Spas and Cosmetic Services
            • Dental Practices
            • Laboratories
            • Skilled Nursing Facilities and Long-Term Care
            • Value Based Care Organizations: ACOs, IPAs and CINs
            • Urologists
          • Life Sciences & Pharmacy
            • Specialty Pharmacies
            • Community, Retail Pharmacies
            • Chain Pharmacies
            • Fertility Pharmacies
            • Long-Term Care Pharmacies
            • Supermarket Pharmacies
            • Compounding Pharmacies (503A)
            • Clinically Integrated Networks (“CINs”)
            • Home Infusion Providers
            • Integrated Delivery Network
            • Pharmaceutical Manufacturers
            • Pharmaceutical Wholesalers
            • Outsourcing Facilities (503B)
            • State & National Pharmacy Association
            • Veterinary Compounders
            • Biotechnology Companies
            • Urologists
        • Insights
          • Blogs & Articles
          • Videos
          • Download Tools
          • Upcoming Events
          • Recent Results
          • Webinars
          • COVID-19 Resources
        • Join our team
          • Careers
        • Contact