Frier Levitt Helps Florida-based Independent Pharmacy Reduce PBM Audit Recoupment by 90%

A Florida-based pharmacy was facing a $120k audit with a PBM for several different discrepancies, including inventory shortfalls, alleged prescriber and patient denials, and claims submission errors. Frier Levitt worked with the pharmacy to identify the PBM’s underlying basis for the audit results. Following the pharmacy’s submission of additional documentation and the PBM’s review of such information, the audit recoupment amount was reduced to $12k. Frier Levitt also assisted the pharmacy to implement policies and procedures that would prevent any finding of similar discrepancies going forward.

Frier Levitt works with pharmacies facing PBM audits on a routine basis. Contact us today to speak to an attorney.