The Health Plan's Guide to Auditing your Pharmacy Benefit Manager Contract from A to Z

24 Pages


How can you know if your PBM is doing a good job in managing your prescription drug costs? Are you confident your PBM is meeting all its contractual obligations? Ensuring regulatory compliance?

The only way to know for certain is to audit your PBM on a regular basis. This guide provides expert insights into why auditing your PBM is so critical in today’s market. It discusses the types of PBM audits available and provides practical advice on scheduling and prioritizing PBM audits for maximum impact. With this guide in hand, you will maximize your drug cost savings, reduce compliance risks, and improve member service levels.

WHAT YOU’LL LEARN:

  • Why auditing your PBM is important …and how it can save money and reduce compliance risks
  • Common mistakes PBMs make when calculating rebates… and how to get your fair share of dollars
  • Why doing audits gives you greater negotiating leverage with your PBM
  • Best practices for prioritizing and scheduling PBM audits

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