In a recent trend, pharmacies have begun receiving notices of termination not for billing errors or audit findings, but for claims inactivity. Specifically, several Pharmacy Benefit Managers, or PBMs, have been terminating pharmacies solely because... Read More
Has your pharmacy or dispensing practice recently received a remittance that included large “submission fees,” sometimes designated with the code “AH:444,” without explanation? Frier Levitt has learned those fees are DIR fees being charged... Read More
It is a challenging task to open and sustain an independent, retail pharmacy business, particularly given the current landscape. However, even more challenging, is establishing a pharmacy in a “HEAT Zone.” The Health Care Fraud Prevention and... Read More
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
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
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
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
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
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
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
