Government Program Oversight Archives

What is Direct and Indirect Remuneration (DIR), “Non-DIR”, and the Importance of Reconciling Annual DIR Reporting

What is Direct and Indirect Remuneration (DIR), “Non-DIR”, and the Importance of Reconciling Annual DIR Reporting

Elizabeth Shelton2022-06-07T20:36:16+00:00

Direct and Indirect Remuneration, most commonly known as DIR, refers to price concessions that

What is Direct and Indirect Remuneration (DIR), “Non-DIR”, and the Importance of Reconciling Annual DIR ReportingElizabeth Shelton2022-06-07T20:36:16+00:00

Medicare Part D: Call Center Oversight

Medicare Part D: Call Center Oversight

Elizabeth Shelton2022-05-18T14:05:12+00:00

The Center for Medicare and Medicaid Services (CMS) places a high priority on member

Medicare Part D: Call Center OversightElizabeth Shelton2022-05-18T14:05:12+00:00

What is Medicare Part D Regulatory Reporting

What is Medicare Part D Regulatory Reporting

Elizabeth Shelton2022-05-03T20:53:57+00:00

Purpose of Part D Regulatory Reporting In 2008, CMS required for all Part D

What is Medicare Part D Regulatory ReportingElizabeth Shelton2022-05-03T20:53:57+00:00

Coverage Determination and Redetermination Oversight for Medicare Part D

Coverage Determination and Redetermination Oversight for Medicare Part D

Elizabeth Shelton2022-05-03T21:11:48+00:00

The Center for Medicare and Medicaid Services (CMS) has many rules and regulations regarding

Coverage Determination and Redetermination Oversight for Medicare Part DElizabeth Shelton2022-05-03T21:11:48+00:00

Prescription Drug-Impacting Health Care Policy in Current Legislation

Prescription Drug-Impacting Health Care Policy in Current Legislation

Elizabeth Shelton2022-05-04T18:42:27+00:00

As consultants to, and advocates for our clients, we at PillarRx are constantly reviewing

Prescription Drug-Impacting Health Care Policy in Current LegislationElizabeth Shelton2022-05-04T18:42:27+00:00

Coverage Gap Discount Program Reconciliation

Coverage Gap Discount Program Reconciliation

Elizabeth Shelton2022-04-07T19:42:48+00:00

Born of the Affordable Care Act of 2010, the Coverage Gap Discount Program (Discount

Coverage Gap Discount Program ReconciliationElizabeth Shelton2022-04-07T19:42:48+00:00

Medicare Part D – Formulary Submission Process

Medicare Part D – Formulary Submission Process

Elizabeth Shelton2021-06-23T18:34:45+00:00

Health plans and clients offering Medicare Part D to its members should have some

Medicare Part D – Formulary Submission ProcessElizabeth Shelton2021-06-23T18:34:45+00:00

PBM Certifications – What are NCQA and URAC accreditations?

PBM Certifications – What are NCQA and URAC accreditations?

Elizabeth Shelton2022-10-18T20:42:19+00:00

Selecting the right PBM partner to support and manage prescription drug benefits for your

PBM Certifications – What are NCQA and URAC accreditations?Elizabeth Shelton2022-10-18T20:42:19+00:00

What is the MONY Code

What is the MONY Code

Elizabeth Shelton2022-05-16T19:53:05+00:00

In the pharmacy benefits space, there is a term commonly used called the MONY code. What

What is the MONY CodeElizabeth Shelton2022-05-16T19:53:05+00:00

What are Delegation Audits

What are Delegation Audits

Elizabeth Shelton2021-06-23T18:23:34+00:00

PillarRx's Compliance and Audit Specialist within the Government Programs Team, Lisa Caprara, is giving

What are Delegation AuditsElizabeth Shelton2021-06-23T18:23:34+00:00