Boesen & Snow recently participated as co-counsel for a pharmacy that was the subject of a Board of Pharmacy complaint related to delivering pandemic related, patient-specific medication orders written pursuant to a telemedicine encounter. The concern of the Board of Pharmacy was whether the prescription orders were issued pursuant to a prescription order by a …
Monthly Archives: March 2022
PBM Audits and Member Denied Claims: How PBMs May Be Leading Patients Down the Path to Deny Claims Submitted for Reimbursement by Your Pharmacy.
Boesen and Snow Law has observed an increasing number of PBM audits containing “Member Denied” claims including: Member Denied Paying Copayment Member Denied Receiving Medication Member Denied Requesting Medication The trend has shown that currently, Member Denials can be nearly impossible to overcome despite refuting evidence and have increasingly led to the termination of Pharmacies’ …