Jesse Dresser, Dae Lee and Harini Bupathi author article on challenging PBM Audits for Total Pharmacy
PBMs are notorious for auditing pharmacies with the intent of seeking large recoveries, including a clawback of the entire reimbursement amount paid on a prescription claim in addition to an audit fee proportionate to the recovery amount. Audits will not only impact a pharmacy’s day-to-day operation but may also lead to additional sanctions, including network termination.
Frier Levitt Pharmacy Attorneys, Jesse Dresser, Esq., Dae Y. Lee, PharmD, Esq., CPBS and Harini Bupathi, Esq. author an article in the June 1, 2021 issue of Total Pharmacy titled “How Pharmacies Can Prepare for PBM Audits and Challenge Audit Results” in which they discuss why it is critical to understand how to respond to an audit in an expeditious and efficient manner.
Read the full article here.