The Phoenix Law Group, PLC

480.444.3500

Pharmacy Benefits & Operations

Healthcare has become increasingly regulated.  The pharmacy benefit and specialty pharmacy industry is governed by numerous federal and state laws and regulations, and consent orders.  Other government sub-regulatory guidance provides further  pressure on the industry to conform with government expected “best practices”.  Health plans, discount card sponsors, pharmacy benefit managers, pharmacies, manufacturers, data companies, and consultants servicing industry players need to understand the legal and regulatory framework within which they operate.  The specific areas we assist our clients with include:

AREAS OF EXPERTISE

  • 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 Requirements
  • Discount Card Programs
  • 340B Programs
  • PBM Service Agreements
  • Pharmacy Network Agreements
  • Rebate Agreements
  • Manufacturer Service Agreements
  • Drug Purchase Agreements
  • Data Use/Sales
  • Software License/Purchase Agreements
  • Distribution and Vendor Agreements
  • PBM
  • TPA
  • UR
  • PPO
  • Mail Order
  • PBM/Health Plan
  • PBM/Discount Card
  • Breach of Contract
  • Contractual Interference
  • Government Investigations, inquiries, and proceedings
  • Pharmacy and/or Plan Payment Issues
  • Pharmacy Audits
  • Pharmacy Terminations

Contact Us

The Phoenix Law Group, PLC
8765 East Bell Road, Suite 101
Scottsdale, Arizona 85260

MAIN: 480-444-3500
FAX: 480-444-1270

Contact Specific Attorney

Meet our Attorneys

Cami Agena

Pharmacy Benefits and Operations, Compliance Counceling, Contracting, Licensing

more...

Suzanne Broderick

Pharmacy Benefits and Operations, Compliance Counceling, Contracting, Licensing

more...

Samantha Brown

Pharmacy Benefits and Operations, Compliance Counceling, Contracting, Licensing

more...

Chesica Gilson Hall

Commerical Litigation, Health Care, Antitrust and Trade Regulation

more...

Robert W. Heglin

Pharmacy Benefits and Operations, Compliance Counceling, Operations Support, Labor and Employment

more...
Meet The Rest of the Team