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Libby represents pharmacy benefit managers, pharmacies and other types of healthcare providers regarding complex regulatory, compliance and transactional matters.

She routinely advises clients on a variety of regulatory and compliance issues, including state and federal health care fraud and abuse laws, Medicare/Medicaid reimbursement, pharmacy licensure, medical privacy, security and health information technology laws.

Prior to joining Husch Blackwell, Libby served as senior legal counsel for one of the industry’s largest pharmacy benefit managers.




  • J.D., Saint Louis University School of Law
    • Dean's Select Scholarship
    • National Moot Court Team
    • Robert Dowd Award for Appellate Advocacy 
    • SLU Law Legal Service Award, 2011
  • LL.M., Saint Louis University School of Law
    • Health Law
  • B.A., Mercer University
    • cum laude
    • English Literature and Spanish


  • Missouri
  • Texas

Professional Memberships and Certifications

  • American Health Law Association
  • The Missouri Bar
  • Drafted and negotiated limited distribution pharmacy agreements, discount agreements, pharmacy services agreements and patient assistance program agreements between specialty pharmacy and pharmaceutical manufacturers.
  • Structured pharmacy benefit manager(PBM) rebate arrangements and pharmacy arrangements with pharmaceutical manufacturers to ensure compliance with applicable Fraud and Abuse laws.
  • Advised pharmacies on Health Insurance Portability and Accountability Act(HIPAA) / Health Information Technology for Economic and Clinical Health(HITECH) privacy compliance.
  • Successfully represented pharmacies in adverse actions affecting state licensure.
  • Conducted privileged, confidential internal investigations.
  • Advised an international pharmaceutical manufacturer service provider on contracting, privacy and operational matters.
  • Successfully represented specialty pharmacy in administrative hearings involving adverse audit findings of Medicare and Medicaid billing matters.
  • Negotiated network payer agreements and provided strategic legal counsel when disputes arose between payers and specialty pharmacy.
  • Negotiated and drafted business, vendor and employee contracts for network hospitals.
  • Provided legal oversight and advice to business teams developing, contracting and implementing 340B product offerings to 340B covered entities and health plans.
Podcast | August 10, 2017
Specialty Pharmacy Podcast

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