Cases
Representative Matters: Filed an amicus brief on behalf of the National Association of Specialty Pharmacy (NASP) in the United States Supreme Court concerning Rutledge v. the Pharmaceutical Care Management Association (PCMA), arguing that federal law does not preempt states from overseeing pharmacy benefit manager (PBM) practices
regulating reimbursement,
that stripping the states of this regulatory power leaves pharmacies without remedy
threatens critical care to the most vulnerable patients.
Represented regional specialty compounding pharmacy in navigating
appropriately responding to multiple state boards of pharmacy investigations.
Representing state pharmacy cooperative in Federal Trade Commission investigation.
On behalf of a specialty pharmacy, successfully overturned claims rejections for a high-dollar specialty medication allowing the pharmacy to immediately service the affected patients.
Obtained favorable outcome for pharmacy benefit manager client in dispute with state licensing facility concerning its application bid for a third party administrator license.
Obtained favorable outcome for multiple pharmacy clients in their applications for mail order network service rights with national pharmacy benefit manager.
Consulted with state attorneys general offices contemplating investigations of pharmacy benefit managers engaging in below-cost reimbursement to independent pharmacies.
Successfully overturned notices of termination by pharmacy benefit managers based on common ownership.
Representing a specialty pharmacy in eliminating Generic Effective Rate claw-backs from its agreement with the largest national Pharmacy Benefit Manager.
Represented a national pharmacy in a dispute with a large diabetes test strips manufacturer over allegations regarding the propriety of test strips purchased
dispensed by the pharmacy.
Represented one of the world's leading computer manufacturers in Federal Trade Commission Investigation.
Represented pharmacy in dispute with drug manufacturers over alleged outst
ing receivables.
Represented a pharmacy in defense of DEAs allegation regarding the improper dispensing of schedule II controlled substance drugs.
Successfully reinstated pharmacies' mail delivery privileges with pharmacy benefit manager after receipt of cease
desist letters based upon ambiguities in the pharmacy benefit manager's contract.
Represented large trade association as amicus curiae participant in Tunney Act challenge to major merger in the beer industry.
Represented independent pharmacies in successfully overturning decisions by Pharmacy Benefit Managers to exclude the pharmacies from insurance networks.
Represented independent pharmacies in successfully overturning decisions by Pharmacy Benefit Managers to suspend or terminate the pharmacies from insurance networks.
Represented an international chain of specialty pharmacies in opposing the merger between CVS
Aetna, which st
s to affect tens of millions of people. Filed an amicus curiae brief arguing that the increasing consolidation of the healthcare industry will lead to higher prices, reduced access,
less choice for consumers
patients for pharmacy services,
successfully secured live witness testimony in a public hearing.
Represented independent pharmacies in appeals of Pharmacy Benefit Manager audits, successfully preventing the recoupments of millions of dollars from the pharmacies.
Represented prominent radiologist in successful re-credentialing with two of the largest nation-wide health insurance companies.
Represented a national oncology pharmacy in negotiating a Pharmacy Benefit Management agreement, which resulted in reimbursement from 19.9% to 16%, representing a savings of millions of dollars annually.
Represented a large independent pharmacy in successfully overturning their termination by a Pharmacy Benefit Manager that was based upon allegations of improperly dispensing controlled substances.
Pro Bono: Representing Honduran client in seeking return of child to home country pursuant to the Hague Convention on the Civil Aspects of International Child Abduction.
Represented client in immigration naturalization process.
Representing client seeking legal immigration status pursuant to the Violence Against Women Act.
Represented El Salvadorian seeking refugee status in the United States under the Central American Minor Parole Program.
