Frier Levitt recently helped an Arizona-based independent pharmacy that was being audited by a national PBM. The PBM alleged various audit discrepancies including inadequate proof of delivery and missing signature logs. These alleged discrepancies... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law | Recent Successes

In a growing trend, we have seen Pharmacy Services Administrative Organizations (PSAOs) recently undertake new efforts to withhold reimbursements due and owing to pharmacies after they have been terminated by one or more pharmacy benefits managers... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

Providers enrolled in Medicare and/or Medicaid are aware of the myriad of rules associated with coverage for services and the submission of claims, but they are sometimes surprised to learn that neglecting to update their enrollment status and... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | Community, Retail Pharmacies | Healthcare | Life Sciences | Medicare, Medicaid, and Other Commercial Payor Audits & Appeals | Pharmacy Law

Pharmacy Benefit Managers (PBMs) routinely request pharmacies to submit credentialing when seeking admission into their networks, and require re-credentialing applications to be submitted two to three years after the pharmacies’ admission. The... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Payor Network Access and Defense of Network Terminations | Pharmacy Law

In recent years we have seen an increase in Board of Pharmacy investigations and complaints tied to inventory maintenance, and more specifically, inventory shortfalls between what the pharmacy has purchased from their wholesalers, and what has been... Read More
Blogs & Articles | Life Sciences | National Board of Pharmacy Matters | Pharmacy Law

When looking to purchase a pharmacy, prospective owners must take into consideration multiple aspects of the transaction in order to ensure a successful continuation of operations post-closing. Failure to properly evaluate, structure, and execute a... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | News & Press | Pharmacy Law

Frier Levitt recently assisted a New York-based independent pharmacy that was placed under temporary payment suspension by a national Pharmacy Benefit Manager (“PBM”).  Notably concerning, the temporary suspension was effectuated while the... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Pharmacy Law | Recent Results | Recent Successes

Frier Levitt was recently successful in reversing a Midwest pharmacy’s enrollment application denial by a major Pharmacy Benefit Manager (“PBM”). The PBM denied the pharmacy’s enrollment application alleging that the pharmacy was previously... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | Payor Network Access and Defense of Network Terminations | Pharmacy Law | Recent Results | Recent Successes