Best Practices for Including Audit Terms in Your PBM Contract
By Steve Baumgardner & Derek Frye
Tue, Dec, 17, 2019Conducting regular audits of your PBM is one of the best strategies health plans can use to make sure the PBM is fully delivering on its contractual terms. In order to successfully implement an audit strategy, audit rights have to be negotiated with the PBM, and it’s not uncommon for health plans to unknowingly let the PBM gain the upper hand in specifying audit terms.