Experienced Pharmacist | Seasoned
Business Leaders | Practicing Lawyers

Signature Log Audits: Are you Maintaining the Proper Documentation for In-Person and Mail-Delivered Prescriptions?

How to be Prepared for the inevitable Signature Log Audit post relaxed Covid-19 Pandemic Guidelines. Many PBMs relaxed the requirements on signature logs for both in person and delivered medications due to the Covid-19 Pandemic. Some PBMs even allowed mailed prescriptions when otherwise prohibited. While the ease in restrictions made providing patients with their medications […]

PBM Aberrant Product Lists: The Aberrant NDC and Percentage Billed Compared to Total Volume is Only Part of the Issue

Beginning in January of 2020, at least one of the major PBMs began monitoring its network pharmacies for the billing of specific NDC numbers the PBM considered “Aberrant”. The list of NDCs was sent to network pharmacies in November of 2019 and has since been updated in November of 2020. The communication states that billing […]

Supreme Court Victory for States and Independent Pharmacies

With the national conversation discussing a Supreme Court of the United States (SCOTUS) that is often highly politicized and characterized as divided, it should be comforting to the independent pharmacy community to know that SCOTUS issued a unanimous, 8-0 (Justice Barrett did not participate in this decision) decision in the case of Rutledge v. PCMA. […]

PBM Suspension

Payment Suspensions: Why Prompt, Accurate, and Complete Audit Responses are Crucial to Maintaining your Pharmacy Cash Flow. Did you know that your PBM contracts allow for the immediate suspension of your network participation status if the PBM believes you have engaged in or are engaging in any number of possible contract violations? This includes payment […]

How pharmacy benefit managers squeeze local pharmacists

Opening and operating a pharmacy is difficult enough on its own. In recent years, however, the grip of pharmacy benefit managers (PBMs) is making life even harder for independent pharmacists. PBMs act as a middleman, managing prescription drug benefit programs. PBMs argue they can lower prescription costs by negotiating discounts with large drug companies. What’s […]