Burchfield’s contract enforcement provides both monitoring of the PBM’s performance and in-depth audits of pricing and benefits, as well as PDE files for Medicare Part D plans. This process ensures that discounts and benefit components are applied correctly and pharmacy rebates are processed properly.

Ongoing monitoring combined with periodic comprehensive claims and benefits audits is the best way to verify your PBM’s performance and ensure the pharmacy pricing you negotiated in your contract truly impacts your bottom line – making it a critical part of our Pharmacy Benefit Contract Certified process.