As PBMs continue to aggressively review participation in their retail pharmacy networks, several pharmacy providers find themselves at risk of termination over seemingly minor issues. For example, Frier Levitt recently assisted an Illinois-based... Read More
Despite the fact that many Pharmacy Benefit Managers ("PBMs") are Fortune 50 companies, many in the general public and even legislators do not know exactly what PBMs do or where their massive revenue streams come from. One of the tactics used by... Read More
Frier Levitt recently helped a Tennessee-based independent pharmacy who was facing a Fraud, Waste and Abuse audit conducted by a PBM and successfully reduced the audit chargeback by more than 97%. The PBM alleged various discrepancies including,... Read More
A new law in Connecticut provides independent pharmacies with extraordinary relief against Pharmacy Benefits Managers ("PBMs"), and various post-point-of-sale fees like Direct and Indirect Remuneration ("DIR") and Generic Effective Rates ("GER")... Read More
Pharmacy Benefit Managers, or PBMs, regularly audit pharmacies for their prescriptions, inventories, and general practices, in order to ensure such pharmacies are maintaining compliant practices in relation to the PBM's Provider Agreement and... Read More
https://youtu.be/o6P9ZDkxFNQ Frier Levitt co-founder Jonathan Levitt, Esq. and pharmacist attorney Dae Lee, Pharm.D., Esq., CPBS talk about Plan Sponsors and Cost Containment Strategies. In attempt to address the rising costs of prescription drugs,... Read More
https://youtu.be/Nmow6Xyyacg Frier Levitt co-founder Jonathan Levitt, Esq. and pharmacist attorney Dae Lee, Pharm.D., Esq., CPBS talk about the Firm's Plan Sponsor Group, what a plan sponsor is, the issues they face and how the Firm helps plan... Read More
As another independent pharmacy closed its doors last week in Connecticut, the owner of the pharmacy identified that the rising costs of operations and direct and indirect remuneration (DIR) fees along with the decreasing reimbursement rates each... Read More
Pharmacy Benefit Managers (PBMs) regularly audit independently-owned pharmacies and seek recoupments on allegedly discrepant claims for a number of different bases. Recently, Frier Levitt has seen an uptick in the number of audits whereby PBMs have... Read More
We first reported in late 2018 that Pharmacy Benefit Managers (PBMs) and Pharmacy Services Administrative Organizations (PSAOs) have implemented a new type of post-sale recoupment called Generic Effective Rate (GER) upon their member pharmacies. In... Read More
