Frier Levitt Launches Maximum Allowable Cost (MAC) Reimbursement Rights Practice Group Helping Pharmacies Fight Unfair Pharmacy Benefit Manager (PBM) Practice

As part of its ongoing mission to protect Independent Pharmacies nationally, boutique healthcare law firm Frier Levitt announced today the establishment of a firm Practice Group focused exclusively on Maximum Allowable Cost (MAC) reimbursement.  

Frier Levitt’s MAC Pricing Practice Group, led by Lucas W. Morgan, Esq., assists pharmacies in fighting unfair MAC reimbursements by Pharmacy Benefit Managers (PBMs), examines the legality of PBMs’ MAC pricing, MAC reimbursement, and ensures that pharmacies take advantage of state laws restraining unfair PBM practices.

Frier Levitt has observed troubling trends pertaining to PBMs’ MAC practices, including how MAC pricing is determined, MAC reimbursement to pharmacies, and the amount charged to plan sponsors. Because there is no generally accepted reference price for multisource generic drugs, pharmacies are usually reimbursed by PBMs for these drugs based on a MAC price list created by the PBM. MAC prices are usually set by the PBM with pharmacies having no access to the methodology utilized by the PBM.

Pharmacies that dispense a substantial amount of multisource generic drugs and have questions or concerns regarding PBM MAC practices should contact Lucas W. Morgan, Esq. at lmorgan@frierlevitt.com or call 973.618.1660. 

About Frier Levitt, LLC

Frier Levitt is a national boutique healthcare law firm, providing comprehensive regulatory, transactional and litigation counsel to the Life Sciences and Healthcare industries, drawing on experience representing stakeholders from all ends of the healthcare spectrum. Frier Levitt represents pharmacies of all kinds, including specialty pharmacies, retail pharmacies, compounding pharmacies, chain pharmacies, mail order pharmacies, home infusion and long-term care pharmacies, and publicly-traded specialty pharmacies. Through our experience in representing thousands of pharmacies, we have developed strong relationships with key decision-makers at each pharmacy benefits manager, as well as a keen understanding of the dynamic trends and legal issues impacting pharmacies. For more information, visit www.frierlevitt.com.

Source: Frier Levitt, LLC

About Frier Levitt

Frier Levitt is a national boutique healthcare law firm, providing comprehensive regulatory, transactional and litigation advice to the Healthcare and Life Sciences industries.

Frier Levitt
84 Bloomfield Avenue
Pine Brook, NJ
07058

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