Myers and Stauffer has extensive national experience performing pharmacy compliance and contract performance audits for the Medicare program and for State and local government entities. We have performed over 300 pharmacy compliance and contract performance audits exclusively for governmental entities. Our governmental pharmacy auditing expertise includes:
We have reviewed pharmacy benefit plans of all sizes and in all geographic regions across the country. Our experience includes benefit plans ranging from 100 members to plans with over one million members and includes auditing the benefit management practices of the largest Pharmacy Benefit Managers (PBMs) in the industry. Our experience provides an extensive understanding of the complexities of the pharmacy benefit industry and regarding the business practices of plan sponsors and their PBMs.
Our pharmacy benefit audit experience includes procedures designed to ensure the accuracy and completeness of plan sponsor financial reporting as well as to ensure program beneficiaries receive proper access to care as defined by regulatory and program guidance. Whether you are interested in assessing contract compliance for your third party administrator or assessing regulatory compliance of your managed care organizations, the depth of our pharmacy benefit audit experience will help you accomplish your goals.