Pharmiweb ChannelsAll | PharmaCo | Clinical Research | R&D/BioTech | Sales/Mktg | Healthcare | Recruitment | Pharmacy | Medical Comms

Pharmiweb.com RSS Feed Pharmiweb.com RSS Feeds

Pharmiweb.com RSS Feed PharmiWeb Candidate Blog

Pharmiweb.com RSS Feed PharmiWeb Client Blog

Advertising

Press Release

Keller Rohrback L.L.P. Investigating Whether Patients Are Overpaying at the Pharmacy

Keller Rohrback L.L.P.
Posted on: 06 Oct 16

Attorney Advertising. Patients who are paying a co-pay at the pharmacy may in fact be paying the entirety of the prescription cost plus an additional kickback to their Pharmacy Benefits Manager (PBM). Pharmacists refer to this practice as a “clawback” and you may have no idea that it’s happening to you.

This Smart News Release features multimedia. View the full release here: http://www.businesswire.com/news/home/20161005006571/en/

Patients who are paying a co-pay at the pharmacy may in fact be paying the entirety of the prescription cost plus an additional kickback to their Pharmacy Benefits Manager. (Photo: Business Wire)

PBMs act as a middle man between insurance companies and pharmacies. Pharmacists must submit claims to the PBM and then the PBM tells the pharmacy how much to charge each patient. The PBM can set the price well above what the drug actually costs.

For example, a document obtained by Fox 8 in New Orleans shows Valsartan HCTZ, a medication that treats high blood pressure, costs $14.43 but the PBM instructed the pharmacy to collect a $30 co-pay from the patient. The PBM paid nothing for the drug and then collected the additional $15.57 clawback from the pharmacy. This conduct is outrageous and unjustified.

Keller Rohrback L.L.P. is investigating the following PBMs for engaging in this practice:

  • OptumRx, a subsidiary of United Health Group (Aetna Inc., CIGNA Corporation, Humana, OptumRx and Catamaran)
  • Express Scripts
  • Prime Therapeutics, a subsidiary of Blue Cross Blue Shield
  • MedImpact
  • Navitus Health Solutions

If one of the companies listed above is your PBM and you suspect you are being overcharged at the pharmacy, please contact attorneys Derek LoeserErin Riley and David Ko. Call 800-776-6044 or email info@kellerrohrback.com.

Keller Rohrback L.L.P. has decades of experience helping consumers and insureds fight back against fraud and abuse. Keller Rohrback L.L.P. serves as lead and co-lead counsel in class action lawsuits throughout the country. With offices in New York, Seattle, Phoenix, Ronan, Oakland, and Santa Barbara, our Complex Litigation Group is proud to offer its expertise to clients nationwide. Our trial lawyers have obtained judgments and settlements on behalf of clients in excess of seven billion dollars.

Attorney Advertising. Prior results do not guarantee a similar outcome. Not licensed to practice law in all states. Please refer to our website for details.

View source version on businesswire.com: http://www.businesswire.com/news/home/20161005006571/en/

Business Wire
www.businesswire.com

Last updated on: 06/10/2016

Advertising
Share | | |
Site Map | Privacy & Security | Cookies | Terms and Conditions

PharmiWeb.com is Europe's leading industry-sponsored portal for the Pharmaceutical sector, providing the latest jobs, news, features and events listings.
The information provided on PharmiWeb.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician.