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The ABCs of BOPs and PBMs: A Comprehensive Guide for Pharmacies
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Manage episode 421597724 series 1523443
In this episode, we have two guests:
Harini's practice focuses on counseling several different types of pharmacy providers on their relationships with PBMs and other similar payors. She advises clients in a wide range of PBM-related matters including network access, audits, termination, wrongful recoupment actions, and fraud, waste, and abuse investigations. Harini utilizes her knowledge and experience to counsel on strategies and best practices to avoid any adverse action from payors and PBMs.
Lucas is a skilled and assertive litigator in Frier Levitt’s Healthcare and Life Sciences Litigation groups, where he represents healthcare and life sciences professionals in a variety of complex matters. With a focus on advocating for the rights of pharmacies and other healthcare providers, Lucas handles various types of disputes involving PBMs and also regularly navigates BOP matters in various legal issues, advising and representing clients in BOP inspections, investigations, enforcement actions, and other related matters across many jurisdictions nationwide.
Interview topics
- Interplay Between BOPs and PBMs: Understand the dynamic relationship between BOPs and PBMs, and its impact on pharmacy operations.
- Treating BOP Inspections with Due Regard: Learn why BOP inspections should be approached with the same rigor as PBM audits and not be treated as routine or narrow in scope.
- Reporting Obligations: Grasp the importance of fulfilling reporting obligations to both PBMs and BOPs accurately and promptly.
- Building Amicable Relationships: Explore effective strategies to cultivate professional working relationships with your BOPs and PBMs, including tips for successful communication, credentialing and consistent reporting
LinkedIn: Frier Levitt | LinkedIn
Instagram: N/A
Website: Frier Levitt | LinkedIn
YouTube: Frier Levitt - YouTube
Twitter/X: (2) Frier Levitt (@FrierLevitt) / X (twitter.com)
Host - Hillary Blackburn, PharmD, MBA
- www.hillaryblackburn.com
- https://www.linkedin.com/in/hillary-blackburn-67a92421/
- @talktoyourpharmacist for Instagram and Facebook
270 episodes
Fetch error
Hmmm there seems to be a problem fetching this series right now. Last successful fetch was on August 31, 2025 17:11 ()
What now? This series will be checked again in the next day. If you believe it should be working, please verify the publisher's feed link below is valid and includes actual episode links. You can contact support to request the feed be immediately fetched.
Manage episode 421597724 series 1523443
In this episode, we have two guests:
Harini's practice focuses on counseling several different types of pharmacy providers on their relationships with PBMs and other similar payors. She advises clients in a wide range of PBM-related matters including network access, audits, termination, wrongful recoupment actions, and fraud, waste, and abuse investigations. Harini utilizes her knowledge and experience to counsel on strategies and best practices to avoid any adverse action from payors and PBMs.
Lucas is a skilled and assertive litigator in Frier Levitt’s Healthcare and Life Sciences Litigation groups, where he represents healthcare and life sciences professionals in a variety of complex matters. With a focus on advocating for the rights of pharmacies and other healthcare providers, Lucas handles various types of disputes involving PBMs and also regularly navigates BOP matters in various legal issues, advising and representing clients in BOP inspections, investigations, enforcement actions, and other related matters across many jurisdictions nationwide.
Interview topics
- Interplay Between BOPs and PBMs: Understand the dynamic relationship between BOPs and PBMs, and its impact on pharmacy operations.
- Treating BOP Inspections with Due Regard: Learn why BOP inspections should be approached with the same rigor as PBM audits and not be treated as routine or narrow in scope.
- Reporting Obligations: Grasp the importance of fulfilling reporting obligations to both PBMs and BOPs accurately and promptly.
- Building Amicable Relationships: Explore effective strategies to cultivate professional working relationships with your BOPs and PBMs, including tips for successful communication, credentialing and consistent reporting
LinkedIn: Frier Levitt | LinkedIn
Instagram: N/A
Website: Frier Levitt | LinkedIn
YouTube: Frier Levitt - YouTube
Twitter/X: (2) Frier Levitt (@FrierLevitt) / X (twitter.com)
Host - Hillary Blackburn, PharmD, MBA
- www.hillaryblackburn.com
- https://www.linkedin.com/in/hillary-blackburn-67a92421/
- @talktoyourpharmacist for Instagram and Facebook
270 episodes
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