As Board of Pharmacy (BOP) inspections and Pharmacy Benefit Manager (PBM) audits become increasingly interconnected, pharmacies face heightened exposure to regulatory discipline and PBM network terminations. What were once isolated compliance issues now carry cascading consequences across licensure, network participation, and day-to-day operations.
In this on-demand session, Frier Levitt partner Eric Knowles provides clarity on how Board of Pharmacy inspection findings can lead to formal discipline and directly trigger PBM terminations, through an operations-focused discussion examining where BOP inspections, PBM audit results, state and federal reporting obligations, and PBM participation agreements intersect. The program emphasizes translating regulatory expectations into actionable, day-to-day procedures, preventing minor deficiencies from escalating into major enforcement actions, and building a defensible compliance posture to help pharmacies withstand heightened scrutiny heading into 2026.
Key Takeaways:
- Understand BOP inspections and PBM obligations and how to manage both effectively.
- Identify common audit deficiencies that lead to BOP discipline and/or PBM termination.
- Learn best practices for self-audits, policy updates, and documentation.
- Explore legal and appeal options to challenge PBM or BOP enforcement actions.
- Apply proactive strategies to stay compliant and protect network access in 2026.
