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Frier Levitt Successfully Reduces PBM Audit by $392K for New York-Based Pharmacy

A New York-based pharmacy was facing a $400k recoupment following a PBM invoice reconciliation audit where the PBM had alleged the pharmacy did not have proper inventory. This is not an uncommon occurrence as PBMs often conduct invoice reconciliation audits to compare quantities of medications and the quantities billed. After submitting invoice documentation and other supporting materials, Frier Levitt successfully demonstrated that the pharmacy had maintained sufficient inventory at all times, reducing the recoupment associated with any alleged inventory shortfalls by $392k.

Maintaining proper documentation, including invoices and purchase histories, as well as pedigree documentation, can be vital in the event of an invoice audit. If your pharmacy is facing a PBM audit, contact Frier Levitt today to speak to an attorney.