Posts Tagged ‘Supreme Court’
Supreme Court Rules Against Pharmacy Benefit Managers, Scoring a Win for Independent Pharmacies
The U.S. Supreme Court recently ruled against Pharmacy Benefit Managers (PBMs), scoring a win for smaller, independent pharmacies. The opinion by the high court will allow states to regulate how much money PBMs are required to reimburse pharmacies for prescription medication. On December 10, 2020, in Rutledge v. Pharmaceutical Care Management Assn., the Supreme Court…
Read MoreSCOTUS to take on implied certification liability under FCA
The U.S. Supreme Court will decide whether False Claims Act (FCA) cases may be brought by whistleblowers and the government under the theory known as “implied certification†and if so, under what circumstances. Under this theory, when a provider submits a claim for government payment, it does so with the implication that it is being…
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