PBMs Archives | Frier Levitt - Attorneys at Law

Pharmacy Alert: Growing Trend in Invoice Reconciliation Audits

Dae Y. Lee, Esq., Pharm.D CPBS and Payal Amin, Pharm.D., RPh, Esq. January 21, 2021

As part of an invoice reconciliation audit, Pharmacy Benefit Managers (“PBMs”) routinely request pharmacies to provide documents pertaining to pharmacy-to-pharmacy drug transfers. These documents include invoices and/or purchase summaries from... Read More

ALERT: MAINE STATUTE PROHIBITING POST POINT-OF-SALE CLAWBACKS TAKES EFFECT

Todd Mizeski, Esq. and A.J. Barbarito, Esq. January 21, 2021

Recently, a new law went into effect in Maine that prohibits an insurance carrier or Pharmacy Benefits Manager (“PBM”) from imposing post-point of sale fees, like Direct and Indirect Remuneration (“DIR”) fees against Maine pharmacies. The... Read More

Blogs & Articles | Community, Retail Pharmacies | DIR Fees | Life Sciences | Pharmacy Law

Enter Amazon Pharmacy: the beginning of a great online pharmacy fight?

Jesse C. Dresser, Esq. January 18, 2021

Frier Levitt Life Sciences Partner and Head of the Pharmacy Practice Group, Jesse C. Dresser, Esq. has contributed to the January 18, 2021 issue of Pharmaceutical Technology in an article titled "Enter Amazon Pharmacy: the beginning of a great... Read More

Blogs & Articles | Digital Pharmacies | Life Sciences | Manufacturers

States and Independent Pharmacies Achieve Monumental Victory in the Supreme Court

Todd Mizeski, Esq., Lucas W. Morgan, Esq. and A.J. Barbarito, Esq. December 10, 2020

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

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

State and Federal Regulation of PBMs – Legislative and Regulatory Efforts to Open the Black Box of PBMs

Frier Levitt December 8, 2020

Payal Amin, Pharm.D, Esq. and A.J. Barbarito, Esq. will be presenting a webinar for the Alliance for Pharmacy Compounding on December 8th, 2020 at 2pm ET. Learning Objectives for pharmacists and technicians: 1. Attendees will gain an understanding... Read More

PLAN SPONSOR UPDATE: Newly Announced Medicare Part D Rebate Rule Is Missing Key Components

Dae Y. Lee, Esq., Pharm.D CPBS and Jonathan E. Levitt, Esq. December 8, 2020

On November 20, 2020, the Trump administration announced plans to scrap the Medicare Part D “rebate safe harbor,” which currently permits insurance middlemen called Pharmacy Benefits Managers (“PBMs”) to charge manufacturers substantial fees... Read More

Blogs & Articles | Industry | Life Sciences | Pharmacy Law | Plan Sponsor PBM Contract Services

The Business of Pharmacy Podcast: Defending against PBM attacks

Payal Amin, Pharm.D., RPh, Esq. and Dae Y. Lee, Esq., Pharm.D CPBS November 30, 2020

Frier Levitt Pharmacist-Attorneys Payal Amin, Pharm.D., RPh, Esq. and Dae Y. Lee, Pharm.D., Esq. are the guests on the November 30th, 2020 episode of The Business of Pharmacy Podcast with Mike Koelzer. The topic of their discussion is "Defending... Read More

Blogs & Articles | Defending Pharmacies in PBM Audits | Life Sciences | Podcast

Recovery for Purchases of Diabetic Testing Supplies from Non-Authorized Distributors in California

Payal Amin, Pharm.D., RPh, Esq. and Harini Bupathi, Esq. November 24, 2020

Some PBMs require that pharmacies purchase diabetic testing supplies from “authorized distributors.” While the term varies from manufacturer to manufacturer, an authorized distributor is essentially an approved wholesaler that is contracted with... Read More

Blogs & Articles | Life Sciences | Manufacturers | Pharmaceutical Wholesalers

Pharmacy Groups and Dispensing Providers Unite in Landmark PBM Case: Rutledge v. PCMA

Martha M. Rumore Pharm.D., Esq., Jesse C. Dresser, Esq. and Todd Mizeski, Esq. October 26, 2020

On October 6, 2020, oral argument was entertained by the Supreme Court of the United States (“SCOTUS”) in Rutledge v. Pharmaceutical Care Management Association (PCMA), the first case to reach the high court challenging a State’s ability to... Read More

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

PHARMACY PROVIDER ALERT: Uptick in Trend of Elixir (formerly known as EnvisionRx) Notice of Suspensions Being Issued to Pharmacies

Payal Amin, Pharm.D., RPh, Esq., Jesse C. Dresser, Esq. and Harini Bupathi, Esq. September 25, 2020

In a recent but aggressive trend, Elixir (formerly known as Envision Rx) has begun to issue payment and claim submission notices of suspension to pharmacies generally alleging that the pharmacies have engaged in or are engaging in activity or... Read More

Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences

Tag: PBMs

Pharmacy Alert: Growing Trend in Invoice Reconciliation Audits

ALERT: MAINE STATUTE PROHIBITING POST POINT-OF-SALE CLAWBACKS TAKES EFFECT

Enter Amazon Pharmacy: the beginning of a great online pharmacy fight?

States and Independent Pharmacies Achieve Monumental Victory in the Supreme Court

State and Federal Regulation of PBMs – Legislative and Regulatory Efforts to Open the Black Box of PBMs

The Business of Pharmacy Podcast: Defending against PBM attacks

Recovery for Purchases of Diabetic Testing Supplies from Non-Authorized Distributors in California

Pharmacy Groups and Dispensing Providers Unite in Landmark PBM Case: Rutledge v. PCMA

PHARMACY PROVIDER ALERT: Uptick in Trend of Elixir (formerly known as EnvisionRx) Notice of Suspensions Being Issued to Pharmacies

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