Today Tammy Miller, Vice President at PillarRx, is sharing some tips about auditing language within your PBM contract. In this video, she discusses:

  • The differences in auditors
  • The benefits of discussing auditors with your PBM
  • Payment types for auditors and the type PBMs prefer
  • Mutually agreeable language in the PBM Contract
  • What is “Client’s Data”
  • Why you should review “All Claims” instead of aggregated data
  • How frequently do you need to audit
  • What parameters you should include in your contract for how quickly a PBM needs to respond to your audit request
  • One-time audits versus ongoing monitoring
  • How far should you go back in your audits?

If you have any questions about what was covered in the video above, please reach out to [email protected] or submit a form here.