Help Is At Hand When Navigating PBM Audits

July 8, 2024

PBM audits are a resource strain on pharmacies and a regular occurrence as plan sponsors check for adherence to network requirements.

Effectively managing audits helps prevent penalties, recouped payments, and potential exclusion from network participation – all which could impact the pharmacy’s ability in providing patient care, financial stability, and revenue generating opportunity.

Quote from Trenton Thiede, PharmD, President of PAAS National. Taken from the 2024 MHA & Navigator Business Summit.

How can pharmacies best be ready for the inevitable to minimize their disruption?

At the 2024 MHA & Navigator Business Summit, Trenton Thiede, president of the Pharmacy Audit Assistance Service, outlined tools available to help pharmacies during audits.

Read a recap of the session provided by Specialty Pharmacy Continuum.

“We know from our pharmacy members that PBM audits can be a burden,” said Mark Yarnevich, VP of Strategic Accounts at MHA. “Bringing members and experts together at the Business Summit allows attendees to discover resources available to them to better navigate audits and address additional business challenges.”

Want to hear more from industry experts about topics important to your business?  Attend the 2025 MHA & Navigator Business Summit being held March 17-19, 2025, in Orlando, FL. Stay tuned for more details about this MHA member exclusive event and when registration opens.