Frier Levitt recently filed an emergent application for injunctive relief in an arbitration filed on behalf of commonly owned pharmacy clients facing termination by a PBM following an audit of one of the commonly owned pharmacies. The PBM sought to... Read More
As legal counsel to providers in an ever-changing healthcare landscape, Frier Levitt recognizes the importance of monitoring proposed, pending and recently enacted legislation and/or rulemaking that affects our clients. From time-to-time,... Read More
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
There is a growing trend of pharmacies that are being terminated from pharmacy networks by Pharmacy Benefit Managers (PBMs) due to the pharmacy's affiliation with providers who have been previously terminated from the PBM's pharmacy network. PBMs... Read More
Recent enforcement actions over allegations regarding assisting pharmaceutical manufacturers to pay improper kickbacks to Medicare beneficiaries are not the only issues currently impacting Patient Assistance Programs (PAPs). PBMs are also taking an... Read More
Frier Levitt successfully saved over $1.6 Million for an independent pharmacy located in Texas against a desktop-audit conducted by a major Pharmacy Benefit Manager (PBM). The PBM claimed several different discrepancies, including inventory... Read More
Millions of Americans across the country are employed by public-sector entities and other self-funded employers, insurers, and managed healthcare organizations (collectively "Plan Sponsors"), who often turn to Pharmacy Benefit Managers (PBMs) for... Read More
The U.S. Attorney's Office for the District of New Jersey recently released a superseding indictment against the owners and operators of several specialty pharmacies, alleging a $99 million fraud scheme. The indictment combined and added to several... Read More
Frier Levitt recently reversed a PBM's decision to terminate a pharmacy due to alleged drug invoice shortage discrepancies. The pharmacy was terminated due to the results of a PBM's pre-credentialing audit that failed to take into account a variety... Read More
On July 12, 2019, the New York City Transit Authority (NYCTA) filed a Motion to extend the deadline to file its brief in opposition to Express Scripts' Motion to Dismiss the NYCTA's Complaint, or alternatively, to file an Amended Complaint.... Read More
