Navigating a Pharmacy Benefit Manager (PBM) audit or enrollment application on your own can be overwhelming. PBM audits rely on voluminous requests for documentation under strict and tight deadlines. Incomplete or late responses will guarantee financial chargebacks and risk more catastrophic consequences, including payment suspensions or network terminations. Successfully navigating PBM enrollment applications is critical …
Tag Archives: PBM Audit
PBM Audits Move Fast. Start Preparing Your Defense Today!
Don’t Wait! Build a relationship with an Experienced Pharmacy Law Team One of the more stressful parts of going through Pharmacy Benefit Manager (PBM) audit is that, by the time the average pharmacy hires experienced pharmacy law attorneys to defend their business, there may only be two weeks or less to formulate a successful response. …
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How to Respond to a PBM Audit Notice
Pharmacies are plagued by the burdens of addressing the terms of their pharmacy benefit manager (PBM) agreements, whether those terms are reasonable or not. Pharmacies are dogged with PBMs wielding their power by initiating a PBM audit – sometimes to root out actual discrepancies, sometimes to injure your business in favor of the PBM’s own affiliated …