OptumRx Begins Auditing Pharmacies Based on Purchase History Verification and Inventory Practices

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Attention Pharmacies: OptumRx has begun a recent new trend in auditing pharmacies relating to purchase history verification and inventory practices. In conducting purchase history verifications or inventory audits (something virtually all PBMs have done for some time), OptumRx has begun requesting additional documents and policies and procedures from pharmacies relating to inventory maintenance and drug selection. The questions include policies on documenting changes to NDC number in inventory and in making refills, questions relating to daily inventory practices, and questions relating to overall inventory maintenance. Pharmacies need to be prepared for this new breed of auditing questions, and need to have developed SOPs relating to inventory maintenance and invoice record retention. Frier Levitt routinely drafts these documents and can assist your pharmacy in maintaining necessary policies and procedures. Contact us today.