PHOENIX LAW GROUP is one of the few law firms in the country with an entire practice group devoted exclusively to pharmacy benefits and operations.  What sets our practice group apart? For starters, it is made up entirely of attorneys that have in-house counsel experience—giving us significant expertise in an extremely complex industry.

Primarily representing pharmacy benefit managers (PBMs) and retail pharmacy chains, we work with our clients daily as an extension of their in-house legal departments. Because we get to know our clients thoroughly, we understand how to achieve their business goals, and are able to provide each with pragmatic advice and workable solutions. From contract development and negotiation, to structuring operations to meet regulatory requirements, our experience allows us to handle a client’s needs seamlessly without wasted time getting “up to speed.” 

Because the laws and regulations impacting pharmacy benefits and operations change on a daily basis, we are committed to staying on top of these changes. Our team offers an ancillary legislative and regulatory tracking service, that our clients can subscribe to through plgtrack.com. As industry experts, we are frequently called upon to provide legislative updates. In fact, we annually present at the National Council for Prescription Drug Programs (NCPDP) conference.

AREAS OF EXPERTISE :

• Prescription benefit management service agreements
  
• Pharmacy network agreements
  
• Manufacturer rebate agreements
  
• Manufacturer/wholesaler purchase agreements
  
• Software license/purchase agreements
  
• eBusiness agreements
  
• Medicare Part D
  
• Anti-kickback laws
  
• Office of the Inspector General (OIG) compliance program guidance for pharmaceutical manufacturers
  
• Average wholesale pricing issues
  
• Formulary development and management
  
• Therapeutic interchange programs
  
• Generic substitution
  
• Drug utilization review programs
  
• Drug utilization management programs
  
• Discount card programs
  
• PBM laws (licensing and transparency)
  
• Pharmacy licensing
  
• TPA/UR/PPO/PBM licensing
  
• HIPAA and patient privacy
  
• Drug importation and reimportation
  
• Any willing provider laws
  
• Prompt pay laws
  
• E-prescribing programs
  
• Mandatory mail prohibitions
  
• Mail-Order pharmacy legal compliance
  
• Medicaid and medicare
  Part B Provider Requirements
  
• Disease management
  
• E-prescribing
  
• Pharmacy / Mail Order Licensing
  
• State pharmacy laws and practice acts
  
• 340B programs
  
• State wholesaler Requirements
  
• Internet pharmacy legal compliance