When one of our nation’s top mail order pharmacies received a termination notice from one of the largest Pharmacy Benefit Managers (PBMs), it knew to turn to the healthcare attorneys of Silverman Bain, LLP to lead the fight.

With the pharmacy’s ability to service thousands of patients at stake and an individual’s right to choose one’s own healthcare provider on the line, after an in-depth appeal hearing before the PBM’s Committee, the termination notice was rescinded.

While PBMs serve an important role in curbing fraud, waste and abuse in the healthcare space, PBMs have endless resources and engage in investigatory tactics that oftentimes yield inaccurate results, hedging on independent pharmacy’s lesser resources to appeal.

Whether the audit findings pertain to claims, inventory or co-pay discrepancies, prescriber or member denial allegations, or other alleged breach of PBM requirements, the law firm of Silverman Bain, LLP has your back and will lead the fight against PBMs that infringe upon pharmacy’s rights.