As a national healthcare and life sciences boutique law firm, Frier Levitt has vast experience representing all types of licensed healthcare and life sciences professionals, including Independent Pharmacies, Compounding Pharmacies, and Specialty Pharmacies. Frier Levitt also regularly represents pharmacists, pharmacy technicians, and other licensed dispensing practitioners.
For over 20 years, Frier Levitt has worked with pharmacies, pharmacists, and state boards of pharmacy (“BOP”), and we understand the importance of these relationships, the many implications arising from BOP investigations and other entities that are crucial to the overall success and ability of pharmacies and pharmacists to practice. These include relationships with various payors including insurance companies, pharmacy benefit managers (“PBMs”), and government payors.
Recently, BOPs have increased and enhanced their scrutiny and oversight of pharmacies and pharmacists due to heightened concerns arising from various issues throughout the country including the opioid epidemic, telemedicine, questionable marketing practices and other concerns regarding patient safety. As part of this increased scrutiny, BOPs have begun collaborating with other state investigative agencies to engage in more in-depth investigations into prescription sourcing, marketing arrangements and practices, pharmacy management agreements, and copay collection practices. Such investigations will often include the use of subpoenas and other invasive records requests. Given this challenging and evolving legal landscape, it is important to ensure that if a pharmacy, pharmacist, or pharmacy technician is being investigated by a BOP (or any other agency), that competent legal counsel is retained to navigate the investigation prudently. There are also numerous proactive measures that a pharmacy or pharmacist can undertake to ensure that more routine inspections and interactions with BOPs do not result in issues that lead to more serious disciplinary actions.
Another factor that has increased the importance of relationships with BOPs is the overwhelming influence that PBMs have in the pharmacy marketplace. Over the past several years there has been a pronounced increase in collaboration between PBMs and BOPs. Frier Levitt has also observed an increase in BOP investigations mirroring PBM audits and investigations, which further reflects the increased collaboration between these powerful entities. It is also well established that Disciplinary Action by one BOP can lead to disciplinary action by BOPs in other jurisdictions. Further, Disciplinary Action by even one BOP can lead to PBMs attempting to terminate a Pharmacy’s entire contractual relationship between the PBM and the pharmacy. A pharmacy or pharmacist’s dealings and interactions with BOPs cannot be taken lightly or handled haphazardly—they must be taken seriously and always handled cautiously.
Matters investigated by BOPs range in complexity from straightforward administrative issues to far more serious issues including patient safety, dispensing practices, and allegations of fraud. Examples of some of the matters investigated by BOPs include:
Frier Levitt attorneys have handled numerous BOP investigations, BOP enforcement actions, and other related BOP matters in many jurisdictions throughout the country. Frier Levitt has a multi-disciplinary team of attorneys including pharmacist-attorneys, experienced litigators with extensive trial experience, criminal defense attorneys, and attorneys with vast experience dealing with PBMs, all of whom are prepared to represent and defend pharmacies and pharmacists throughout all aspects of a BOP investigation, including, if necessary, at hearings or trials. The goal of defending any BOP investigation is to ensure that the rights and interests of the pharmacy or pharmacist are defended throughout the entirety of any such proceeding and that every effort is made to achieve the best result possible given the unique circumstances of the case. Where Disciplinary Action is involved or occurs, we work closely with the pharmacy and/or pharmacist(s) to ensure compliance with all applicable rules and regulations for BOPs and PBMs to avoid further issues. For more information, contact Frier Levitt today and speak with an attorney.