Legal Challenges Help When Reimbursement Rates are Underwater

Originally published by our sister publication Specialty Pharmacy ContinuumBy Gina Shaw Jesse Dresser, JDEven after the 2024 Medicare Part D reform that ended post–point-of-sale Direct and Indirect Remuneration (DIR) fees, many pharmacies continue to struggle with underwater reimbursement rates from pharmacy benefit managers (PBMs).“Some health systems have reported decreases by 15%,” said Jesse Dresser, Esq., a partner in Frier Levitt’s Life Sciences Department who heads