Expertise in the cost of drugs, the regulation of controlled substances and the vigilance process to identify and prevent drug diversion.  Drug coverage determinations and formulary or off formulary policies.  Pain management medical specialty expertise.  Medicare LCDs and coverage policies for drugs under Medicare Part B and Medicare Part D.   State and federal policies systems, process and regulations regarding drug coverage including prescription drug management programs, Knox-Keene and ERISA

• Drug Pricing Expert Methodology – Determining the cost of Drugs
• Drug Pricing Expert and Classification Systems
• Drug Pricing Legislation and Inefficient Markets Theory
• Formularies and PBMS – How Drugs are Covered or Non-Covered by Health Plans
  • Pharmacy and Therapeutics Committees (P&T Committees) – Methods for adding drugs to formularies
• Knox-Keene Act Pharmacy Benefit Managers and Drug Formularies
• FDA Unveils Database of Drug Side Effects, Procedural Changes
• Controlled Substances Act
  • Maintaining Effective Controls to Stop Drug Diversion
  • Effective Controls to Identify Suspicious Orders, Reporting, Refuse to Distribute
  • Data, Methods Reasonably Available to ‘Registrants’
  • Methods to Identify Drug Diversion
• How do Pharmacy Benefit Managers Determine Pricing?
• Pharmacy Benefit Managers Drug Pricing and Appeals
• Pain Management Substance Abuse Addiction Medicine Coding and Billing Expert
• ICD-10 Benefits Pharmaceutical and Medical Device Companies
• Pain Management Expert Witness
• State Prescription Drug Management Programs (PDMPs)
• Integration of PDMP with Electronic Health Record
• Pain management contracts and toxicology testing
• CDC Guidelines on Morphine Milligram Equivalents (MMEs)