Pharmacy Audits: Removing the Ambiguity Between Health Plan and PBM

By Margaret Berlack & Derek Frye
Thu, May, 25, 2017

Average Wholesale Prices (AWPs), Maximum Allowable Charges (MACs), generics versus brands, dispensing and administrative fees: the terms form an alphabet soup of acronyms against which various percentage discount formulas are then applied in your PBM contract. Then the formulas are applied against literally millions of individual pharmacy transactions.

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