How to Submit Your Audit Documents for an Effective Review
PAAS National® analysts continue to see an increasing amount of PBM audits demanding large audit volumes of documents for reviews.
I started in pharmacy in 2012 at a large store chain. I worked my way into becoming a Certified Pharmacy Technician (CPhT) two years later. I was in love with pharmacy and enjoyed helping patients! I ended my job in the pharmacy and started working at Custom Health in November 2022 as a CPhT calling independent pharmacies and helping with Outcomes technician tips. Which brings me to March 2024 working with PAAS on yet another side of the pharmacy business. I am excited for the challenge and look forward to working with you on PBM audits!
PAAS National® analysts continue to see an increasing amount of PBM audits demanding large audit volumes of documents for reviews.
PAAS National® continues to see pharmacies face full recoupment on claims that are processed to coupons and copay cards in violation of Caremark’s® policy found in section 3.03.03 of the 2024 Pharmacy Provider Manual.
When PBMs violate state law, pharmacies need to scream from the mountain tops. Get the ball rolling by filing a complaint with your state regulators.
The answer is YES! Multi-Dose Vials (MDV) for injection have Beyond Use Dates (BUD) that need to be followed.
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