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Excellence. Insight. Guidance.

Navigating the legal complexities of PBM and pharmacy operations: The Phoenix Law Group, PLC.

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The Phoenix Law Group is one of the only law firms in the country primarily devoted to PBM and pharmacy operations. Founded by attorneys who served as in-house counsel at PBMs, the Phoenix Law Group has a foundation for providing knowledgeable, unparalleled legal representation for all companies within the PBM industry.

Operating within the highly regulated and fiercely competitive PBM landscape can be challenging. With an extensive knowledge of the PBM industry and laser focus on your clear and specific goals, we deliver results that transcend expectations.

COMPLIANCE COUNSELING

We work with clients to ensure their operations and business practices are compliant with laws in one of the most complicated and rapidly changing industries in the country.

CONTRACTING

We provide flexible contracting services to meet your needs. We can assist you by drafting the contract documents and leading negotiations or we can review existing drafts and provide feedback on an as needed basis.

LICENSING & REPORTING

With more states requiring licensure and reporting of industry players, our team assists clients with all stages of the process, from assessing required licenses, determining reporting parameters, answering one off questions, or handling the entire licensing and reporting process for clients.

Mergers & Acquisitions

Our attorneys team up with the client’s corporate M&A counsel to provide insight and guidance in connection with the nuanced pharmacy benefit management space, and then we provide ongoing integration support post-acquisition.

Government & Third Party Document and Information Requests

We work with clients to identify the parameters of the requests/ requirements, navigate through potential compliance issues, and communicate with regulators to resolve issues.

Day-To-Day Operations

Understanding the business framework and challenges, we work with our clients to ensure their processes and new programs are compliant with regulatory requirements while optimizing business goals.

COMPLIANCE COUNSELING

We work with clients to ensure their operations and business practices are compliant with laws in one of the most complicated and rapidly changing industries in the country.

COMPLIANCE COUNSELING

  • Fraud, Waste, and Abuse
  • HIPAA/HITECH
  • Patient Privacy
  • Medicare Part D
  • Dual Eligible Programs
  • Prompt Pay
  • Any Willing Provider
  • Pharmacy Operations
  • Clinical Programs
  • Provider Contracting
  • Discount Card Programs
  • 340B Programs

Contracting

We provide flexible contracting services to meet your needs. We can assist you by drafting the contract documents and leading negotiations or we can review existing drafts and provide feedback on an as needed basis.

Contracting

  • PBM Service Agreements
  • Business Associate Agreements
  • Pharmacy Network Agreements
  • Rebate Agreements
  • Data Use/Sales Agreements
  • Software License Agreements
  • Vendor Agreements
  • Contract Drafting, Review, Redlining, Negotiation
  • Contract Dispute Resolution

LICENSING & REPORTING

With more states requiring licensure and reporting of industry players, our team assists clients with all stages of the process, from assessing required licenses, determining reporting parameters, answering one off questions, or handling the entire licensing and reporting process for clients.

LICENSING & REPORTING

  • PBM
  • TPA
  • UR
  • PPO
  • Pharmacy
  • DMPO
  • APCD
  • Producer
  • PSAO
  • Assessments of Licenses Needed
  • Initial Applications
  • Renewals
  • Reports
  • Notices of Change

Mergers & Acquisitions

We team up with the client’s corporate M&A counsel to provide insight and guidance in connection with the nuanced PBM space, and then we provide ongoing integration support post-acquisition.

Mergers & Acquisitions

  • PBM, Health Plan, Pharmacy, Discount Card
  • Notices of Change
  • Notices of Change
  • Change of Ownership
  • Integration Assistance

Government & Third Party Document & Information Requests

We work with clients to identify the parameters of the requests/requirements, navigate through potential compliance issues, and communicate with regulators to resolve issues.

Government & Third Party Document & Information Requests

  • Data Calls
  • Market Conduct Exams
  • Investigations
  • Enforcement Actions
  • Reporting/Disclosures
  • Subpoenas
  • Civil Investigative Demands
  • Studies

DAY-TO-DAY OPERATIONS

Understanding the business framework and challenges, we work with our clients to ensure their processes and new programs are compliant with regulatory requirements while optimizing business goals.

DAY-TO-DAY OPERATIONS

  • Pharmacy Audits
  • Pharmacy Terminations
  • Reimbursement Issues/Appeals
  • Policies and Procedures
  • New Programs